Provider Demographics
NPI:1962576900
Name:BECKES OPTICAL AND HEARING AIDS
Entity type:Organization
Organization Name:BECKES OPTICAL AND HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWICKI
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:716-649-1616
Mailing Address - Street 1:141 PINE ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5155
Mailing Address - Country:US
Mailing Address - Phone:716-649-1616
Mailing Address - Fax:
Practice Address - Street 1:141 PINE ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5155
Practice Address - Country:US
Practice Address - Phone:716-649-1616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC0029221156F00000X, 156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0058005001OtherCOMMUNITY BLUE
NYNY2922OtherEYEMED
NY00580050001OtherSENIOR BLUE
NY00011219501OtherUNIVERA
NY000580050001OtherBLUE CROSS BLUE SHIELD
NY7390002OtherINDEPENDENT HEALTH
NY000580050001OtherBLUE CROSS BLUE SHIELD