Provider Demographics
NPI:1770851974
Name:BECKEN VISION SOLUTIONS, PLLC
Entity type:Organization
Organization Name:BECKEN VISION SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECKEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-457-1958
Mailing Address - Street 1:18739 E BRAEBURN LN
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6461
Mailing Address - Country:US
Mailing Address - Phone:480-282-1736
Mailing Address - Fax:480-457-1960
Practice Address - Street 1:21055 E RITTENHOUSE RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-4477
Practice Address - Country:US
Practice Address - Phone:480-457-1958
Practice Address - Fax:480-457-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1635152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty