Individual
JANIS E BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
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
Update your record
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