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BEKS SPEKS EYEWEAR BOUTIQUE NPI 1861677007


NPI Information

NPI: 1861677007
Provider Name: BEKS SPEKS EYEWEAR BOUTIQUE
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1314 9TH ST SE
SUITE 2
DYERSVILLE, IA
ZIP 52040
Phone: (563) 875-2344
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BEKS SPEKS EYEWEAR BOUTIQUE is an eyewear supplier in Dyersville, IA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BEKS SPEKS EYEWEAR BOUTIQUE NPI is 1861677007. The provider is registered as an organization entity type.

The provider's business location address is:

1314 9TH ST SE
SUITE 2
DYERSVILLE, IA
ZIP 52040-333
Phone: (563) 875-2344
Fax: (563) 875-2344

The provider's authorized official is Rebekah Yvonne Bradtke .
The authorized official title is Owner and has the following contact phone number (563) 875-2344.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 1/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10449512MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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