Individual provider Active NPI

Michael Becker

  • Technician/Technologist
  • West Hempstead, NY
National Provider Identifier
1053486423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
4725 Issued in NY
Practice address
126 Hempstead Tpke
Eye-Deal Optical
West Hempstead, NY 11552-2146
Phone
(516) 481-6640
Fax
(516) 481-7567
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 4725 NY Primary

Addresses

Primary practice location

126 Hempstead Tpke
Eye-Deal Optical
West Hempstead, NY 11552-2146

Mailing address

951 Lydia PL
Baldwin, NY 11510-5021
Phone (516) 223-8034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4725NYMDTechnician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Hempstead Vision Care Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053486423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 LYDIA PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105021",
            "telephone_number": "516-223-8034",
            "fax_number": "516-481-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HEMPSTEAD TPKE",
            "address_2": "EYE-DEAL OPTICAL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522146",
            "telephone_number": "516-481-6640",
            "fax_number": "516-481-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NY",
            "license": "4725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.