IndividualActive
Samuel Beckstead, DO
NPI 1487041380 · Ophthalmic Plastic and Reconstructive Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1487041380
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS020090 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2100 Providence Way
Idaho Falls, ID 83404-4951
Phone: (208) 529-6600
Fax: (208) 529-6602
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Providence Way
Idaho Falls, ID 83404-4951
Registry dates
- Enumerated
- 2015-04-20
- Last updated
- 2020-11-05
- Certified
- 2020-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.