Healthcare Provider Details

I. General information

NPI: 1962576900
Provider Name (Legal Business Name): BECKES OPTICAL AND HEARING AIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 PINE ST
HAMBURG NY
14075-5155
US

IV. Provider business mailing address

141 PINE ST
HAMBURG NY
14075-5155
US

V. Phone/Fax

Practice location:
  • Phone: 716-649-1616
  • Fax:
Mailing address:
  • Phone: 716-649-1616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License NumberC0029221
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberC0029221
License Number StateNY

VIII. Authorized Official

Name: MR. DONALD NOWICKI
Title or Position: OWNER
Credential: OPTICIAN
Phone: 716-649-1616