Provider Demographics
NPI:1356470041
Name:TROY C. BECKER, O.D., P.C.
Entity Type:Organization
Organization Name:TROY C. BECKER, O.D., P.C.
Other - Org Name:2020 EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:CULLEN
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-225-9334
Mailing Address - Street 1:16303 CRETIAN POINT CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6824
Mailing Address - Country:US
Mailing Address - Phone:281-225-9334
Mailing Address - Fax:281-225-9335
Practice Address - Street 1:8403 LOUETTA RD # 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6737
Practice Address - Country:US
Practice Address - Phone:832-717-7140
Practice Address - Fax:832-717-7142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4775TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E35TOtherTROY C. BECKER, O.D. BCBS
TX81026QOtherBETTY T. VINH O.D. BCBS
TX0024FEOtherBCBS GROUP #
TX81025QOtherTROY C. BECKER, O.D. BCBS
TX81025QOtherTROY C. BECKER, O.D. BCBS
TX0024FEOtherBCBS GROUP #
TX00928VMedicare ID - Type UnspecifiedGROUP NUMBER