Individual provider Active NPI

Ahnie Bequette, OD

  • Optometrist
  • Cape Girardeau, MO
National Provider Identifier
1063300770
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025024869 Issued in MO
Practice address
3140 Blattner Dr
Cape Girardeau, MO 63703-6348
Phone
(573) 334-2020
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2025024869 MO Primary

Addresses

Primary practice location

3140 Blattner Dr
Cape Girardeau, MO 63703-6348

Mailing address

3140 Blattner Dr
Cape Girardeau, MO 63703-6348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709001635 MO Practitioner - Optometry 8224542535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory S. Leet, O.D., P.C.Group PAC ID 5496857443, 8 clinicians

Practice addresses (Care Compare)

3140 Blattner Dr
Cape Girardeau, MO 63703-6348
Phone (573) 334-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory S. Leet, O.D., P.C. Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Nto Denton, PLLC Optometrist Past Accepting new patients
Tennessee Vision Partners PLLC Optometrist PastSince Jun 29, 2025 Accepting new patients

Locations

3140 Blattner Dr
Cpe Girardeau, MO 63703
Phone (573) 334-2020

1014 E Jackson Blvd
Jackson, MO 63755
Phone (573) 243-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1063300770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BLATTNER DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BLATTNER DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036348",
            "telephone_number": "573-334-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEQUETTE",
        "first_name": "AHNIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025024869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.