| Organization Name: | UMATILLA OPTICAL & HEARING AID CENTER INC |
| NPI Number: | 1841478484 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN BASTONE (OWNER) |
| Mailing Address: | 570 Hatfield Dr Umatilla |
| State: | FL US |
| Postal Code: | 327848986 |
| Phone Number: | 3526696888 |
| Fax Number: | 3526691015 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | AS2700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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. |