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LAKE SHORE AUDIOLOGY, P C
NPI 1811052939
Audiologist-Hearing Aid Fitter in Orchard Park, NY

Active since December 27, 2006
3085 SOUTHWESTERN BLVD STE 103, ORCHARD PARK, NY 14127(716) 674-4188(716) 674-4834 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2022, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Lake Shore Audiology, P C NPPES

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

LAKE SHORE AUDIOLOGY, P C (NPI 1811052939) is a healthcare organization registered as an audiologist-hearing aid fitter in Orchard Park, New York and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Irving and lists Kevin G Flanagan, Audiologist Owner, as its authorized official.

NPPES Registry Identity

NPI1811052939
Entity TypeOrganization
Primary Taxonomy237600000X
Legal Business NameLAKE SHORE AUDIOLOGY, P C
Location Address3085 SOUTHWESTERN BLVD STE 103Orchard Park, NY 14127-1234
Mailing Address849 Rt 5 & 20Irving, NY 14081 · (716) 934-2025 · Fax (716) 674-1836
Phone(716) 674-4188
Fax(716) 674-4834
Organization SubpartNo
Authorized OfficialKevin G FlanaganAudiologist Owner · (716) 934-2025
Enumeration DateDecember 27, 2006
Last NPPES UpdateDecember 1, 20224 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1811052939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
License✔ Licensed in NY · 15000008841
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
Also ListedAudiologistTaxonomy 231H00000X · License 001421-2 (NY)
3085 SOUTHWESTERN BLVD STE 103, Orchard Park, NY 14127
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Secondary Practice Location 1

Location 1849 Rt 5 & 20Irving, NY 14081 · Phone (716) 934-2025 · Fax (716) 674-1836

Other Identifiers 2

Other00011388701Univera
Other9210249Independent Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. TARA BODZIAK AU.D
Audiologist
3085 SOUTHWESTERN BLVD STE 103
ORCHARD PARK, NY 14127
Erie County (716) 674-4188

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 Lake Shore Audiology, P C's NPI number?

The NPI number for Lake Shore Audiology, P C is 1811052939. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Lake Shore Audiology, P C located?

Lake Shore Audiology, P C is located at 3085 Southwestern Blvd Ste 103, Orchard Park, NY 14127. The listed phone number is (716) 674-4188.

What is Lake Shore Audiology, P C's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

When was this NPI record last updated?

The NPPES record for Lake Shore Audiology, P C was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.