Active NPI
Laura K Beck, OD
- Optometrist
- Austin, TX
National Provider Identifier
1770694960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5795TG
- Practice address
- 4301 W William Cannon
B210
Austin, TX 78749 - Phone
- (512) 328-0015
- Fax
- (512) 328-7638
- NPI assigned
- Aug 31, 2006
- Last updated
- Feb 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5795TG | TX | Primary |
Addresses
Primary practice location
4301 W William Cannon
B210
Austin, TX 78749
Mailing address
4301 W William Cannon
B210
Austin, TX 78749
Phone (512) 328-0015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5795 | TX | MD | Behavioral Analyst |
| 5795TG | TX | MD | Optometrist |
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": "1298160000000",
"number": "1770694960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W WILLIAM CANNON",
"address_2": "B210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78749",
"telephone_number": "512-328-0015",
"fax_number": "512-328-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W WILLIAM CANNON",
"address_2": "B210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78749",
"telephone_number": "512-328-0015",
"fax_number": "512-328-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "LAURA",
"middle_name": "K",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5795TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.