Kathryn Beckett, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00426900 Issued in NJ

Practice address

4003 Lincoln Dr W Ste J
Greentree Executive Campus
Marlton, NJ 08053-1523

Phone

(856) 988-0080

Fax

(856) 988-0090

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003973843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 LINCOLN DR W STE J",
            "address_2": "GREENTREE EXECUTIVE CAMPUS",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531523",
            "telephone_number": "856-988-0080",
            "fax_number": "856-988-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 LINCOLN DR W STE J",
            "address_2": "GREENTREE EXECUTIVE CAMPUS",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531523",
            "telephone_number": "856-988-0080",
            "fax_number": "856-988-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00426900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jane Beckman
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• Behavioral Health and Anxiety Reduction, LLC
• Jeremy Behrens, LAC
• Nicole Marie Belevich, PA-C

• Optometrist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.