SearchIdahoOphthalmic Plastic and Reconstructive Surgery Physician

Samuel Beckstead, DO

NPI 1487041380 · on the registry since 2015 · sole proprietor

Practice

Address
2100 Providence Way
Idaho Falls, ID 83404
Phone
(208) 529-6600
Fax
(208) 529-6602
Organisation at this address
Premier Eye Care Of Eastern Idaho
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Ophthalmic Plastic and Reconstructive Surgery Physician
207WX0200X
Also registered as
Ophthalmology Physician
Ophthalmology Physician
Student in an Organized Health Care Education/Training Program
Licence states on file
PA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho