CUSTOM HEARING LLC (NPI# 1356896872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356896872 |
| Entity Type | Organization |
| Organization Name | CUSTOM HEARING LLC |
| Other Organization Name | MIRACLE EAR |
| Practice Address |
323 Main St Waterville ME 04901-4922 |
| Mailing Address |
131 Enterprise Rd Johnstown NY 12095-3326 |
| Practice Telephone | 2076163700 |
| Practice Fax Number | 2076163742 |
| Mailing Telephone | 4013534174 |
| Mailing Fax Number | 4014885774 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | JASON FRASIER (HEARING INSTRUMENT SPECIALIST) |
| Authorized Official Telephone | 2076163700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| Other Name | Type Code |
|---|---|
| Miracle Ear | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669870903 | Custom Hearing LLC | Hearing Aid Equipment | 2 Station Ave, Suite 2, Brunswick, ME 04011-2092 | 2014-12-19 |
| 1063765683 | Custom Hearing LLC | Hearing Aid Equipment | 753 Stillwater Ave, Suite 2, Bangor, ME 04401-3633 | 2012-10-19 |
| 1932652864 | Custom Hearing LLC | Hearing Aid Equipment | 2 Livewell Dr, Suite 102, Kennebunk, ME 04043-6762 | 2016-07-27 |
| 1053501965 | Custom Hearing LLC | Hearing Aid Equipment | 3285 South 5063 West, West Valley, UT 84120 | 2007-07-26 |
| Street Address |
323 MAIN ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669870903 | Custom Hearing LLC | Hearing Aid Equipment | 2 Station Ave, Suite 2, Brunswick, ME 04011-2092 | 2014-12-19 |
| 1134542657 | Edmondson Hearing Solutions Inc | Hearing Aid Equipment | 248 Us Route 1, Scarborough, ME 04074-8903 | 2014-02-04 |
| 1962755595 | Custom Hearing | Hearing Aid Equipment | 60 Western Ave, Suite 2, Augusta, ME 04330-6338 | 2012-10-19 |
| 1063765683 | Custom Hearing LLC | Hearing Aid Equipment | 753 Stillwater Ave, Suite 2, Bangor, ME 04401-3633 | 2012-10-19 |
| 1932652864 | Custom Hearing LLC | Hearing Aid Equipment | 2 Livewell Dr, Suite 102, Kennebunk, ME 04043-6762 | 2016-07-27 |
| 1770919987 | Lovewell Hearing, LLC. | Hearing Aid Equipment | 44 Portland St, Fryeburg, ME 04037-1206 | 2013-09-19 |
| 1619220233 | Custom Hearing | Hearing Aid Equipment | 209 Western Ave, South Portland, ME 04106-2452 | 2012-10-19 |
| 1063765691 | Custom Hearing | Hearing Aid Equipment | 245 Center St, Suite 3, Auburn, ME 04210-6169 | 2012-10-19 |
| 1497982250 | Hearing Solutions, Pa | Hearing Aid Equipment | 147 Northport Ave, Belfast, ME 04915-6066 | 2009-06-18 |
| 1699902866 | Shapiro Hearing Aid Center Inc | Hearing Aid Equipment | 410 Main St, Lewiston, ME 04240-6781 | 2009-06-16 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.