Provider Demographics
NPI:1295704120
Name:ALPHA-OMEGA HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:ALPHA-OMEGA HEARING AID CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LHIS
Authorized Official - Phone:804-754-2002
Mailing Address - Street 1:1107 WELBORNE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5651
Mailing Address - Country:US
Mailing Address - Phone:804-754-2002
Mailing Address - Fax:804-754-2288
Practice Address - Street 1:1107 WELBORNE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5651
Practice Address - Country:US
Practice Address - Phone:804-754-2002
Practice Address - Fax:804-754-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001423237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty