Beck, Stacey
Beck, Stacey is an individual health care provider with primary practice located at 1850 Sagamore Pkwy W , West Lafayette IN 47906-1368. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Beck, Stacey can be contacted via phone (765) 743-3132.Contact Information
Primary practice address
1850 Sagamore Pkwy W
West Lafayette IN 47906-1368
Phone: (765) 743-3132
Fax: (765) 743-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18003044B | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003044A | Indiana |
Profile Details
| NPI number | 1053342410 |
|---|---|
| LBN Legal business name | Beck, Stacey |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Aug 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053342410 | NPPES |
| Indiana | MEDICAID | 200269560 |
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