Individual
DR. COREY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
222 MARKET DR, PERHAM, MN 56573-2116
(218) 346-3073
(218) 346-3074
Mailing address
222 MARKET DR, PERHAM, MN 56573-2116
(218) 346-3073
(218) 346-3074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2951
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091658700
—
MN
01
—
22-02554
MEDICA
MN
01
—
25104
SPECTERA
MN
01
—
320M3BE
BLUE CROSS BLUE SHIELD MN
MN
01
—
37839
AVESIS
MN
01
—
49006
DAVIS VISION
MN
01
—
892871
ND VISION SERVICES
MN
01
—
P00263877
RAILROAD MEDICARE
MN
Enumeration date
08/31/2006
Last updated
08/13/2025
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