Doctor Name: | MR. MICHAEL BECKER |
NPI Number: | 1053486423 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 4725 |
Business Practice Address: | 126 Hempstead Tpke Eye-deal Optical West Hempstead, NY - 115522146 |
Business Phone Number: | 5164816640 |
Business Fax Number: | 5164817567 |
Mailing Address: | 951 Lydia Pl, BALDWIN |
State: | NY |
Postal Code: | 115105021 |
Phone Number: | 5162238034 |
Fax Number: | 5164817567 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156F00000X |
License Number: | 4725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |