| Organization Name: | BELLA VISTA HEARING CENTER |
| NPI Number: | 1659405132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOLLY JEAN DILLON (OWNER/AUDIOLOGIST) |
| Mailing Address: | 22 Sugar Creek Center Bella Vista |
| State: | AR US |
| Postal Code: | 72714 |
| Phone Number: | 4798760110 |
| Fax Number: | 4798760111 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | A206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |