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Individual

DR. JEFFREY B BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3373 LAKE ARIEL HWY STE C, HONESDALE, PA 18431-1174
(570) 253-6551
(570) 253-6553
Mailing address
3373 LAKE ARIEL HWY STE C, HONESDALE, PA 18431-1174
(570) 253-6551
(570) 253-6553

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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