Provider Demographics
NPI:1184964090
Name:EXPRESS HEARING CARE, LLC
Entity type:Organization
Organization Name:EXPRESS HEARING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:352-751-6400
Mailing Address - Street 1:541 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-4600
Mailing Address - Country:US
Mailing Address - Phone:352-751-6400
Mailing Address - Fax:352-751-6568
Practice Address - Street 1:541 FIELDCREST DR
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-4600
Practice Address - Country:US
Practice Address - Phone:352-751-6400
Practice Address - Fax:352-751-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4476237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty