NPIMap

Organization Active NPI

Beks Speks Eyewear Boutique

  • Eyewear Supplier
  • Dyersville, IA
National Provider Identifier
1861677007
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Rebekah Yvonne BradtkeNPI 1124197538
Title
Owner
Phone
(563) 875-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

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

Mailing address

1314 9TH St SE
Suite 2
Dyersville, IA 52040-2333
Phone (563) 875-2344

National Provider Directory

National Provider Directory

Locations

1314 9th St SE
Ste 2
Dyersville, IA 52040
Phone (563) 875-2344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

Sources for this page

  • 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.