# REVIVE HEARING CENTERS OF INDIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770808834
- **Authorized official:** DR. JUDITH LYNNE HOWSER (MANAGER)
- **Authorized official phone:** (317) 570-4401

## Contact information

- **Practice address:** 9748 LANTERN RD, FISHERS, IN 46037-9612
- **Practice address phone:** (317) 570-4401
- **Practice address fax:** (317) 570-4403
- **Mailing address:** 9748 LANTERN RD, FISHERS, IN 46037-9612
- **Mailing address phone:** (317) 570-4401
- **Mailing address fax:** (317) 570-4403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23002010A | IN | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 23002010A | IN | — |
| 237700000X | Hearing Instrument Specialist | 17001288A | IN | — |

## Other

- **Enumeration date:** 04/01/2010
- **Last updated:** 04/01/2010