MEDICARE: SHERRI L BECKER 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
1	152WC0802X	Corneal and Contact Management Optometrist	0601800171	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306809629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI L BECKER O.D.

Provider Business Mailing Address
First Line	:	2010 BREMO RD STE 128A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2444
Country	:	US
Telephone Number	:	877-969-0392
Fax Number	:	757-827-2820

Provider Business Practice Location Address
First Line	:	2200 EXECUTIVE DR
Second Line	:	SUITE A
City	:	HAMPTON
State	:	VA
Zip	:	23666-2582
Country	:	US
Telephone Number	:	757-827-0009
Fax Number	:	757-827-2820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	02/18/2021

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