Becker Optometry, PC
Organization Active NPI Optometrist · Perham, MN
NPI 1770026643 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1770026643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2951 (MN)
- Legal business name
- BECKER OPTOMETRY, PC
- Practice address
- 222 Market Dr
Perham, MN 56573-2116 - Phone
- (218) 346-3073
- Fax
- (218) 346-3074
- NPI assigned
- Nov 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Corey L Becker, OD
- Title
- President
- Phone
- (218) 346-3073
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Corey Becker, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040811001051 | MN | Part B Supplier - Clinic/Group Practice | 7618949496 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Perham, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2951 | MN | Yes |
| Optician |
156FX1800X |
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 names
- Lakes Family Eyecare
Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.