NPIMap

Individual provider Active NPI

Jason Becker, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1639433840
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1859 Issued in AZ
Practice address
9250 N 3Rd St
Suite 3030
Phoenix, AZ 85020-2437
Phone
(602) 944-3347
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1859 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St
Suite 3030
Phoenix, AZ 85020-2437

Mailing address

3051 W Chanute Pass
Phoenix, AZ 85041-3455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000455 AZ Practitioner - Optometry 6901053271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians
Clear Vision Ophthalmology PCGroup PAC ID 9335198233, 4 clinicians

Practice addresses (Care Compare)

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1015

8410 W Thomas Rd
Suite 146
Phoenix, AZ 85037-3374
Phone (623) 846-6567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1859AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Mar 1, 2026 Accepting new patients
Clear Vision Ophthalmology PC CurrentSince May 29, 2018 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2026 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Phoenix Eye Institute PLLC PastSince Sep 29, 2011 Accepting new patients

Locations

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

14155 N 83rd Ave
Peoria, AZ 85381
Phone (623) 271-8666

14155 N 83rd Ave
Ste 103
Peoria, AZ 85381
Phone (623) 773-3937

14155 N 83rd Ave
Ste 104
Peoria, AZ 85381
Phone (623) 773-3937

8410 W Thomas Rd
Ste 146
Phoenix, AZ 85037
Phone (623) 846-6567

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1639433840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 W CHANUTE PASS",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 3030",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-944-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.