Organization
B & P HEARING AID CO. INC
Active
Other names
Hearing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON M PETTY HIS (HEARING INSTRUMENT SPECIALIST/OWNER)
(618) 466-1227
Entity
Organization
Contact information
Practice address
2055 W HIGHWAY 50, FAIRVIEW HEIGHTS, IL 62208
(618) 624-6485
(618) 624-6702
Mailing address
2055 W HIGHWAY 50, FAIRVIEW HEIGHTS, IL 62208
(618) 624-6485
(618) 624-6702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
332S00000X
Hearing Aid Equipment
2748
IL
332S00000X
Hearing Aid Equipment
Primary
2757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032080
BCBS PROVIDER NUMBER
IL
01
—
1025090
ACM PROVIDER NUMBER
IL
01
—
271406
GHP PROVIDER NUMBER
IL
05
—
364532843001
—
IL
01
—
612129
HEALTHLINK PROVIDER NUMBE
IL
Enumeration date
09/05/2006
Last updated
09/11/2025
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