National Provider Identifier
James Gordon Beiter Jr., O.D.
James Gordon Beiter Jr., O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Blasdell, NY and a listed phone number of (716) 823-6093.
Profile Overview
- NPI
- 1275974230
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 08, 2013
- Last Updated
- December 05, 2014
Practice Location
- 3861 S Park Ave
- Blasdell, NY 14219-1813
Phone: (716) 823-6093
Specialties
- Optometrist (152W00000X)
- Optometrist (152W00000X)
Full Record
- NPI
- 1275974230
- Entity Type
- Individual
- Last Name
- Beiter
- First Name
- James
- Middle Name
- Gordon
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- O.D.
- Mailing Street Address
- 3861 S Park Ave
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-1813
- Mailing Country
- US
- Mailing Phone
- (716) 823-6093
- Practice Street Address
- 3861 S Park Ave
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219-1813
- Practice Country
- US
- Practice Phone
- (716) 823-6093
- Enumeration Date
- July 08, 2013
- Last Updated
- December 05, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Optometrist (152W00000X)