Andrea S Becker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003589 Issued in MI

Practice address

200 S. Cedar St.
Suttons Bay, MI 49682

Phone

(231) 271-4544

NPI assigned

Jun 16, 2005

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrea B Seeley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: andrea.becker@direct.revolutionehr.com

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1710982715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820460",
            "telephone_number": "231-271-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. CEDAR ST.",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "49682",
            "telephone_number": "231-271-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ANDREA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "900D566820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SEELEY",
            "middle_name": "B",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaclyn Marie Anderson, OT
• Brittany Lyn Bahle, PA-C
• Jennie Maria Baker, PT, DPT
• Arica Bartz, PT, DPT
• Baybrooke Counseling
• Kathy Ann Bowers, RN, MSN, CDE
• James Browning, D.C.
• Jesse Carden, D.C.
• Denise M Carpenter
• Crystal Lake Clinic P.C.

• Optometrist in Suttons Bay, MI
• Providers in Suttons Bay, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.