Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER MARIO BECKFORD, O.D.
Active Sole ProprietorDR. WALTER MARIO BECKFORD, O.D. is a Pediatric Optometrist healthcare provider located in RANDOLPH, New Jersey. NPI 1174551576 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · RANDOLPH, NJ
Registration Details
- NPI Number
- 1174551576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (20.106765334865 yrs)
- Last Updated
- Oct 29, 2012
- Licenses
-
270A00505200 (NJ)27OA00505200 (NJ)NJOA00505200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 RTE 10RANDOLPH, NJ, 078692415Browse NJ providers · Browse ZIP 07869
- Phone
- 9733661345
- Fax
- 9733661347
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Occupational Vision Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.