Individual
DR. JEFFREY B BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010193480002
—
PA
01
—
10732
GEISINGER
PA
01
—
2527358
AETNA
PA
01
—
391844
NVA
PA
01
—
818492
FIRST PRIORITY
PA
01
—
96052
VBA
PA
01
—
BE131412
BLUE CROSS BLUE SHIELD
PA
Enumeration date
10/02/2006
Last updated
07/08/2007
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