Active NPIIndividual providerSole proprietor

Dr. Walter M Beckford, OD

Optometrist, Pediatrics in Randolph, New Jersey

NPI Number1174551576
Practice location
124 Rte 10, Randolph, NJ 07869-2415
Fax
973-366-1347
Last updated
October 29, 2012

Walter Mario Beckford is an Optometrist, Pediatrics based in Randolph, NJ. Walter Mario Beckford practices in Randolph, NJ and has the professional credentials of OD. The NPI Number for Walter Mario Beckford is 1174551576 and holds a License No. 270A00505200 (NJ). The current practice location address for Walter Mario Beckford is 124 Rte 10, Randolph, NJ 07869-2415 and can be reached out via phone at 973-366-1345 and via fax at 973-366-1347.

Provider Profile Details

NPI Number
1174551576
Provider Name
Walter Mario Beckford
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
124 Rte 10, Randolph, NJ 07869-2415
Phone Number
973-366-1345
Fax Number
973-366-1347
Primary Taxonomy
Optometrist, Pediatrics · 152WP0200X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2006
Last Update Date
October 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Rte 10
Randolph, NJ 07869-2415
Zip
07869-2415
Phone Number
973-366-1345
Fax Number
973-366-1347
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
88 E Main St
#200
Mendham, NJ 07945-1832
City
Mendham
State
NJ
Zip
07945-1832
Phone Number
973-366-1345
Fax Number
973-366-1347

License Information

License Number (1)
270A00505200
License State (1)
NJ
License Number (2)
27OA00505200
License State (2)
NJ
Taxonomy (2)
Optometrist, Pediatrics · 152WP0200X · Primary
License Number (3)
NJOA00505200
License State (3)
NJ
Taxonomy (3)
Optometrist, Occupational Vision · 152WX0102X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Walter M Beckford, OD?

The NPI number of Dr. Walter M Beckford, OD is 1174551576. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Walter M Beckford, OD?

Dr. Walter M Beckford, OD is registered under the primary taxonomy Optometrist, Pediatrics (code 152WP0200X), licensed in NJ under license number 270A00505200.

Where does Dr. Walter M Beckford, OD practice?

The practice location is 124 Rte 10, Randolph, NJ 07869-2415. The office can be reached at 973-366-1345 (phone) or 973-366-1347 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174551576 directly on the NPPES registry website.

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