Walter Mario Beckford, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

27OA00505200 Issued in NJ

Practice address

124 Rte 10
Randolph, NJ 07869-2415

Phone

(973) 366-1345

Fax

(973) 366-1347

NPI assigned

Jun 28, 2006

Last updated

Oct 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Specialty

Optometry

Education

New England College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ehg NJ Service LLC

  • Optometrist
  • Springfield, NJ
  • NPI 1285222877
  Medicare reassignment Care Compare group NPD
• Walter Beckford OD

  • Optometrist
  • Ledgewood, NJ
  • NPI 1285949750
  NPD (past) Authorized official
• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1710199468
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1174551576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "address_2": "#200",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451832",
            "telephone_number": "973-366-1345",
            "fax_number": "973-366-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RTE 10",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692415",
            "telephone_number": "973-366-1345",
            "fax_number": "973-366-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKFORD",
        "first_name": "WALTER",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "270A00505200",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00505200",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NJ",
            "license": "NJOA00505200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Barry, NP
• Victoria Bartolomeo
• Jennifer Basini, ATC
• Melanie Jean Bateman, BSC (HON)PHARMACY
• Be Beautiful Foundation
• Believe in Me Services, LLC
• Bruce Michael Benerofe, M.D.
• Lara Dionne Beneshan, L.AC.
• Nathalie Beredo, APN
• Rylan Vince Berena

• Pediatric Optometrist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Pediatric Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.