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NPI Code Detail

MEDICARE: DR. DANIEL TURNEY BECK O.D.

MEDICARE:  DR. DANIEL TURNEY BECK  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1488NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410048232OTHERNCRR MEDICARE INDIVIDUAL #
2410032675OTHERNCRR MEDICARE INDIVIDUAL #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
30904TOTHERNCBCBS PROV #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205836525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL TURNEY BECK O.D.
Provider Business Mailing Address
First Line : 5615 S NC 41 HWY
Second Line : SUITE 300
City : WALLACE
State : NC
Zip : 28466-6216
Country : US
Telephone Number : 910-285-5050
Fax Number : 910-285-2968
Provider Business Practice Location Address
First Line : 201 RACINE DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-8702
Country : US
Telephone Number : 910-395-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 03/17/2018

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Directions to “ DR. DANIEL TURNEY BECK O.D.” Practice Location

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