Healthcare Provider Details

I. General information

NPI: 1093950834
Provider Name (Legal Business Name): DAVID J BEECHER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 MEADOWOOD MALL CIR
RENO NV
89502-6508
US

IV. Provider business mailing address

5400 MEADOWOOD MALL CIR
RENO NV
89502-6508
US

V. Phone/Fax

Practice location:
  • Phone: 775-829-6254
  • Fax:
Mailing address:
  • Phone: 775-829-6254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3987
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011128
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4068-35
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2030IOD
License Number StateWV
# 5
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number13659
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: