Organization
MID SOUTH HEARING LLC
Active
Organization
MID SOUTH HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
CORY POPELKA (HEARING INSTRUMENT SPECIALIST)
(402) 504-3952
Entity
Organization
Contact information
Practice address
16236 EVANS PLZ, OMAHA, NE 68116-6449
(402) 504-3952
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(401) 353-4174
(401) 488-5774
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
06/02/2020
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