Active NPI
Jed G. Beck, O.D.
- Optometrist
- West Orange, NJ
National Provider Identifier
1174521389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3329
- Practice address
- 101 Old Short Hills Rd
Suite 430
West Orange, NJ 07052-1000 - Phone
- (973) 325-3300
- Fax
- (973) 325-3320
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3329 | FL | Primary |
Addresses
Primary practice location
101 Old Short Hills Rd
Suite 430
West Orange, NJ 07052-1000
Mailing address
101 Old Short Hills Rd
Suite 430
West Orange, NJ 07052-1000
Phone (973) 325-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620657300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Source LLC | Optometrist | Past | Accepting new patients |
| Palm Beach Eye Center Inc | Past | Accepting new patients | |
| Palm Beach Eye Center Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Boca Raton, FL
- NPI 1780711911
-
- Ophthalmology Physician
- Lake Worth, FL
- NPI 1497753305
-
- Ophthalmology Physician
- Delray Beach, FL
- NPI 1912568387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1174521389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD",
"address_2": "SUITE 430",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521000",
"telephone_number": "973-325-3300",
"fax_number": "973-325-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD",
"address_2": "SUITE 430",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521000",
"telephone_number": "973-325-3300",
"fax_number": "973-325-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "JED",
"middle_name": "G.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620657300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
- Jamie Baux-Johnson, MD
- Aldean Beaumont-Tynes, PSY.D
- Beauvais Health Homecare 3 Beauvais Nursing School Corporation
- Beauvais Health Homecare 3 Beauvais Nursing School Corporation
- Beauvais Health Homecare 3 Inc
- Valerie Anne Beck, NP
- Adam Scott Becker, M.D.
- Simon Becker, DPM
- Kathleen Morella Bedeau-Francis, OTR
- Behavior Buzz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.