Individual provider Active NPI

Corey Becker, O.D.

  • Optometrist
  • Perham, MN
National Provider Identifier
1184735359
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2951 Issued in MN
Practice address
222 Market Dr
Perham, MN 56573-2116
Phone
(218) 346-3073
Fax
(218) 346-3074
NPI assigned
Aug 31, 2006
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2951 MN Primary

Addresses

Primary practice location

222 Market Dr
Perham, MN 56573-2116

Mailing address

222 Market Dr
Perham, MN 56573-2116
Phone (218) 346-3073

Other identifiers 8

IdentifierTypeStateIssuer
49006OtherMNDAVIS VISION
320M3BEOtherMNBLUE CROSS BLUE SHIELD MN
091658700MedicaidMN
892871OtherMNND VISION SERVICES
22-02554OtherMNMEDICA
25104OtherMNSPECTERA
37839OtherMNAVESIS
P00263877OtherMNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040811001088 MN Practitioner - Optometry 6204808090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Market Dr
Perham, MN 56573-2116
Phone (218) 346-3073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2951MNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians Group LLC Optometrist CurrentSince Oct 16, 2024 Accepting new patients
Becker Optometry, PC Optometrist CurrentSince Oct 1, 2012 Accepting new patients
Steven B Thom, MD PC Past Accepting new patients

Locations

1244 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 847-0395

1583 Highway 10 W
Detroit Lakes, MN 56501
Phone (218) 847-7225

222 Market Dr
Perham, MN 56573
Phone (218) 346-3073

235 W Main St
Perham, MN 56573
Phone (218) 346-3073

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1184735359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MARKET DR",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732116",
            "telephone_number": "218-346-3073",
            "fax_number": "218-346-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARKET DR",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732116",
            "telephone_number": "218-346-3073",
            "fax_number": "218-346-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49006",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "320M3BE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091658700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES",
            "identifier": "892871",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22-02554",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25104",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "37839",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00263877",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

Verify at the official NPI Registry.