Individual
BRANDON LEE BECKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21055 E RITTENHOUSE RD, QUEEN CREEK, AZ 85142-4477
(480) 457-1958
(480) 457-1960
Mailing address
18739 E BRAEBURN LN, QUEEN CREEK, AZ 85142-6461
(480) 282-1736
(480) 457-1960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
003006
CT
152W00000X
Optometrist
0618002534
VA
152W00000X
Optometrist
100836529934
UT
152W00000X
Optometrist
Primary
1635
AZ
152W00000X
Optometrist
18004200A
IN
152W00000X
Optometrist
3591-35
WI
152W00000X
Optometrist
4066AT
OR
152W00000X
Optometrist
60696160
WA
152W00000X
Optometrist
ODP-100384
ID
152W00000X
Optometrist
OPT-OPT-LIC-2800
MT
152W00000X
Optometrist
OPT.0003259
OH
152W00000X
Optometrist
OPT0003259
CO
Other
Enumeration date
12/10/2008
Last updated
04/13/2020
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