Kenneth Robert Beck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP764 Issued in DC

Practice address

1747 Pennsylvania Ave NW
Washington, DC 20006-4604

Phone

(202) 466-2050

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerging Vision

  • Eyewear Supplier
  • Washington, DC
  • NPI 1366733362
  NPD (past)
• Eps Corrales Vision Services

  • Optometrist
  • Washington, DC
  • NPI 1346440252
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871622845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 WHITE LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421055",
            "telephone_number": "941-807-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064604",
            "telephone_number": "202-466-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Louise Bechard, MSW
• Hailey Beck
• Jimmy Brant Beck, M.D.
• Jody Beck
• Kathy Linda Beck, LICSW
• Kimball J Beck, MD
• Leonie Beck
• Lucille B Beck, PH.D.
• Sarah Lynn Beck, MS, CCC-SLP
• Arthur Becke

• All providers in Washington, DC
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.