NPIMap

Organization Active NPI

Walter Beckford OD

  • Optometrist
  • Ledgewood, NJ
National Provider Identifier
1285949750
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00505200 Issued in NJ
Legal business name
WALTER BECKFORD OD
Practice address
461 Route 10 Suite 29
Ledgewood, NJ 07852
Phone
(973) 252-4600
NPI assigned
Aug 9, 2010
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Dr. Walter Mario Beckford, ODNPI 1174551576
Title
President
Phone
(973) 252-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00505200 NJ Primary

Addresses

Primary practice location

461 Route 10 Suite 29
Ledgewood, NJ 07852

Mailing address

88 E Main St
#200
Mendham, NJ 07945-1832
Phone (973) 252-4600

National Provider Directory

National Provider Directory

Locations

88 E Main St
#200
Mendham, NJ 07945

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1285949750",
    "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": "973-252-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 ROUTE 10 SUITE 29",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "07852",
            "telephone_number": "973-252-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER BECKFORD OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "BECKFORD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-252-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00505200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.