TIDEWATER HEARING CENTER NPI 1093110223

NPI Information

  • NPI: 1093110223
  • Provider Name: TIDEWATER HEARING CENTER
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: MIRACLE EAR
  • Address: 5200 MERCURY BLVD
    SEARS, SUITE 100
    NEWPORT NEWS, VA
    ZIP 23605
  • Phone: (757) 825-9477

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NPI Details

TIDEWATER HEARING CENTER is a durable medical equipment medical supplies in Newport News, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TIDEWATER HEARING CENTER NPI is 1093110223. The provider is registered as an organization entity type.
The provider Is Doing Business As Miracle Ear.

The provider's business location address is:

5200 MERCURY BLVD
SEARS, SUITE 100
NEWPORT NEWS, VA
ZIP 23605-445
Phone: (757) 825-9477

The provider's authorized official is Janet Ivens .
The authorized official title is Owner and has the following contact phone number (757) 825-9477.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 10/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies03231VIRGINIANo
2332B00000XDurable Medical Equipment & Medical Supplies14763800005200VIRGINIANo
3332B00000XDurable Medical Equipment & Medical Supplies124122VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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