Provider Demographics
NPI:1679991889
Name:BECK AND BECK INC
Entity type:Organization
Organization Name:BECK AND BECK INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-591-9277
Mailing Address - Street 1:1360 N LOUISIANA ST # A-744
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7171
Mailing Address - Country:US
Mailing Address - Phone:509-591-9277
Mailing Address - Fax:
Practice Address - Street 1:1220 N COLUMBIA CENTER BLVD STE H
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1145
Practice Address - Country:US
Practice Address - Phone:509-591-9277
Practice Address - Fax:509-737-8935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00001852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1427108372OtherNPI
WA1831249788OtherNPI