NPIMap

Organization Active NPI

James a. Beckwith, O.D., Inc.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1760605018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
243 Issued in NV
Legal business name
JAMES A. BECKWITH, O.D., INC.
Doing business as
Vision Source
Practice address
8937 W Sahara Ave
Suite a
Las Vegas, NV 89117-5874
Phone
(702) 254-3558
Fax
(702) 254-4012
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Aniello Beckwith, O.D.NPI 1336259332
Title
President
Phone
(702) 254-3558

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 243 NV Primary

Addresses

Primary practice location

8937 W Sahara Ave
Suite a
Las Vegas, NV 89117-5874

Mailing address

8937 W Sahara Ave
Suite a
Las Vegas, NV 89117-5874
Phone (702) 254-3558

Other identifiers 1

IdentifierTypeStateIssuer
2502023MedicaidNV

Other names 1

  • Vision Source Doing business as

National Provider Directory

National Provider Directory

Locations

8937 W Sahara Ave
Ste A
Las Vegas, NV 89117
Phone (702) 254-3558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760605018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8937 W SAHARA AVE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175874",
            "telephone_number": "702-254-3558",
            "fax_number": "702-254-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8937 W SAHARA AVE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175874",
            "telephone_number": "702-254-3558",
            "fax_number": "702-254-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. BECKWITH, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANIELLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-254-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502023",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.