National Provider Identifier Database

SAMUEL W BECKSTEAD, DO – NPI #1487041380
Ophthalmic Plastic and Reconstructive Surgery

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.


Contact Information

SAMUEL W BECKSTEAD, DO
2100 PROVIDENCE WAY
IDAHO FALLS, ID83404-4951
Phone: 208-529-6600
Fax: 208-529-6602
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X
Ophthalmology 207W00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for SAMUEL W BECKSTEAD

NPI Number 1487041380
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/20/2015
Last updated 11/05/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: O-1389
  • PA License #: OS020090
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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