Provider Demographics
NPI:1972697241
Name:BECK, STEVE S (OD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:S
Last Name:BECK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 HOGAN CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3524
Mailing Address - Country:US
Mailing Address - Phone:703-942-5060
Mailing Address - Fax:
Practice Address - Street 1:6316 CASTLE PL
Practice Address - Street 2:#101
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-1906
Practice Address - Country:US
Practice Address - Phone:703-241-4156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001058152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009231145Medicaid