Individual provider Active NPI

Brandon Lee Becken, O.D.

  • Optometrist
  • Queen Creek, AZ
National Provider Identifier
1093950693
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1635 Issued in AZ
Practice address
21055 E Rittenhouse Rd
Queen Creek, AZ 85142-4477
Phone
(480) 457-1958
Fax
(480) 457-1960
NPI assigned
Dec 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-OPT-LIC-2800 MT
Optometrist 152W00000X 100836529934 UT
Optometrist 152W00000X 003006 CT
Optometrist 152W00000X 60696160 WA
Optometrist 152W00000X 0618002534 VA
Optometrist 152W00000X OPT0003259 CO
Optometrist 152W00000X ODP-100384 ID
Optometrist 152W00000X 4066AT OR
Optometrist 152W00000X 3591-35 WI
Optometrist 152W00000X 18004200A IN
Optometrist 152W00000X OPT.0003259 OH
Optometrist 152W00000X 1635 AZ Primary

Addresses

Primary practice location

21055 E Rittenhouse Rd
Queen Creek, AZ 85142-4477

Mailing address

18739 E Braeburn LN
Queen Creek, AZ 85142-6461
Phone (480) 282-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100617000504 AZ Practitioner - Optometry 5395875330 Reassigns benefits to 1 organization
I20190506000669 CO Practitioner - Optometry 5395875330 Reassigns benefits to 2 organizations
I20211201002185 OR Practitioner - Optometry 5395875330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21055 E Rittenhouse Rd
Queen Creek, AZ 85142-4477
Phone (480) 457-1958

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003259COMDOptometrist
003006CTMDOptometrist
ODP-100384IDMDOptometrist
18004200AINMDOptometrist
OPT-OPT-LIC-2800MTMDOptometrist
OPT.0003259OHMDOptometrist
4066ATORMDOptometrist
100836529934UTMDOptometrist
0618002534VAMDOptometrist
60696160WAMDOptometrist
3591-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Becken Vision Solutions, PLLC Optometrist CurrentSince Jan 8, 2012 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Mar 17, 2019 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Mar 17, 2019 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

21055 E Rittenhouse Rd
Queen Creek, AZ 85142
Phone (480) 457-1882

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1093950693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18739 E BRAEBURN LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426461",
            "telephone_number": "480-282-1736",
            "fax_number": "480-457-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21055 E RITTENHOUSE RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424477",
            "telephone_number": "480-457-1958",
            "fax_number": "480-457-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKEN",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-2800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "100836529934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003006",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60696160",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002534",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003259",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100384",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4066AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3591-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004200A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.0003259",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.