Individual
JANIS E BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1220 N COLUMBIA CENTER BLVD STE H, KENNEWICK, WA 99336-1145
(509) 591-9277
(509) 737-8935
Mailing address
1360 N LOUISIANA ST # A-744, KENNEWICK, WA 99336-7171
(509) 591-9277
(509) 737-8935
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092921
—
WA
01
—
G8933831
MEDICARE PTAN
WA
Enumeration date
01/11/2007
Last updated
11/27/2023
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