Beks Speks Eyewear Boutique

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BEKS SPEKS EYEWEAR BOUTIQUE

Practice address

1314 9TH St SE
Suite 2
Dyersville, IA 52040-2333

Phone

(563) 875-2344

Fax

(563) 875-2344

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Rebekah Yvonne Bradtke

Title

Owner

Phone

(563) 875-2344

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1861677007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 9TH ST SE",
            "address_2": "SUITE 2",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402333",
            "telephone_number": "563-875-2344",
            "fax_number": "563-875-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 9TH ST SE",
            "address_2": "SUITE 2",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402333",
            "telephone_number": "563-875-2344",
            "fax_number": "563-875-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEKS SPEKS EYEWEAR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "BRADTKE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-875-2344"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449512",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Eyewear Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.