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PUEBLO AUDIOLOGY CENTER
NPI 1487862835
Audiologist in Pueblo, CO

Active since May 18, 2007
712 FORTINO BLVD, SUITE D, PUEBLO, CO 81008(719) 542-1760(719) 542-5115 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pueblo Audiology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO AUDIOLOGY CENTER (NPI 1487862835) is a healthcare organization registered as an audiologist in Pueblo, Colorado and active in the NPI registry since May 2007. The organization lists Ty Squires, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1487862835
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NamePUEBLO AUDIOLOGY CENTER
Location Address712 FORTINO BLVD, SUITE DPueblo, CO 81008-2084
Mailing Address712 Fortino Blvd, Suite DPueblo, CO 81008-2084 · (719) 542-1760 · Fax (719) 542-5115
Phone(719) 542-1760
Fax(719) 542-5115
Organization SubpartNo
Authorized OfficialTy SquiresAudiologist · (719) 542-1760
Enumeration DateMay 18, 2007
Last NPPES UpdateApril 1, 2008
✔ NPI 1487862835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
712 FORTINO BLVD, Pueblo, CO 81008
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Other Identifiers 5

OtherDC9518Rr Medicare
OtherP00200291Rr Medicare Pin
Medicaid14421739CO
OtherPU668438Bcbs
Medicare PINC521648CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE LALLY OD
Optometrist
712 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 542-0236
DR. STEVEN RAY CLOUGH O.D.
Optometrist
712 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 542-0236
MRS. KAREN MALOTT GACNIK M.S. CCC-A
Audiologist (Assistive Technology Practitioner)
712 FORTINO BLVD, STE. D
PUEBLO, CO 81008
Pueblo County (719) 542-1760
FAMILY EYE CENTER INCORPORATED
Optometrist
712 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 542-0236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pueblo Audiology Center's NPI number?

The NPI number for Pueblo Audiology Center is 1487862835. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Pueblo Audiology Center located?

Pueblo Audiology Center is located at 712 Fortino Blvd Suite D, Pueblo, CO 81008. The listed phone number is (719) 542-1760.

What is Pueblo Audiology Center's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Pueblo Audiology Center was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.