Beckford, Walter Mario

Beckford, Walter Mario is an sole proprietor health care provider with primary practice located at 124 Rte 10 , Randolph NJ 07869-2415. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Pediatrics is his primary health care specialty. Beckford, Walter Mario can be contacted via phone (973) 366-1345.

Contact Information

Primary practice address
124 Rte 10 Randolph NJ 07869-2415
Phone: (973) 366-1345
Fax: (973) 366-1347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 270A00505200 New Jersey
Eye and Vision Services Providers / Pediatrics 152WP0200X 27OA00505200 New Jersey
Eye and Vision Services Providers / Occupational Vision 152WX0102X NJOA00505200 New Jersey

Profile Details

NPI number 1174551576
LBN Legal business name Beckford, Walter Mario
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Oct 29th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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