Becker Vision Center S.C.

Organization Active NPI Optometrist · Wisconsin Rapids, WI

NPI 1144406554 · NPPES record last updated Jul 29, 2008

Key facts

NPI
1144406554
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
1785-035 (WI)
Legal business name
BECKER VISION CENTER S.C.
Practice address
2411 3Rd St S
Wisconsin Rapids, WI 54494-5853
Phone
(715) 424-3937
Fax
(715) 423-3330
NPI assigned
Jan 15, 2008
Organization subpart
No

Authorized official

Name
Dr. William R Becker, O.D.
Title
President
Phone
(715) 424-3937

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 1785-035 WI Yes

Addresses

Primary practice location

2411 3Rd St S
Wisconsin Rapids, WI 54494-5853

Mailing address

2411 3Rd St S
Wisconsin Rapids, WI 54494-5853
Phone (715) 424-3937

Other identifiers

IdentifierTypeStateIssuer
38518900MedicaidWI

Other providers in Wisconsin Rapids, WI

All providers in Wisconsin Rapids, WI · Optometrist in Wisconsin

Sources for this page

Verify at the official NPI Registry.