Individual
DR. WALTER MARIO BECKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
124 RTE 10, RANDOLPH, NJ 07869-2415
(973) 366-1345
(973) 366-1347
Mailing address
88 E MAIN ST, #200, MENDHAM, NJ 07945-1832
(973) 366-1345
(973) 366-1347
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
270A00505200
NJ
152WP0200X
Pediatric Optometrist
Primary
27OA00505200
NJ
152WX0102X
Occupational Vision Optometrist
NJOA00505200
NJ
Other
Enumeration date
06/28/2006
Last updated
10/29/2012
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