Active NPI
Stacy Becvar, O.D.
- Optometrist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2004021756
- Practice address
- 1109 Club Village Dr
Suite 106
Columbia, MO 65203-4466 - Phone
- (573) 441-2020
- NPI assigned
- Jul 17, 2006
- Last updated
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2004021756 | MO | Primary |
Addresses
Primary practice location
1109 Club Village Dr
Suite 106
Columbia, MO 65203-4466
Mailing address
3405 Kunlun Dr
Columbia, MO 65203-8012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317214906 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
823 Eastland Plaza
Jefferson City, MO 65101-3893
Phone (573) 893-4223
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becvar Optometry, LLC | Current | Accepting new patients |
Locations
1109 Club Village Dr
Ste 106
Columbia, MO 65203
Phone (573) 441-2020
823 Eastland Dr
Jefferson Cty, MO 65101
Phone (573) 893-4223
Organizations & group practices 1
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": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1104844414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 KUNLUN DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652038012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 CLUB VILLAGE DR",
"address_2": "SUITE 106",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034466",
"telephone_number": "573-441-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECVAR",
"first_name": "STACY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2004021756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317214906",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.