Active NPI
DRS. Becherer, Becherer & Associates, LTD
- Corneal and Contact Management Optometrist
- Belleville, IL
National Provider Identifier
1336222124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 046006704
- Legal business name
- DRS. BECHERER, BECHERER & ASSOCIATES, LTD
- Practice address
- 1 Park Place Professional Ctr.
Belleville, IL 62226-2943 - Phone
- (618) 233-3040
- Fax
- (618) 233-3739
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Douglas Becherer, O.D.
- Title
- President
- Phone
- (618) 233-3040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 046006704 | IL | Primary |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
1 Park Place Professional Ctr.
Belleville, IL 62226-2943
Mailing address
1 Park Place Professional Centre
Belleville, IL 62226
Phone (618) 233-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE1726 | Other | IL | RAILROAD MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
712 Lincoln Hwy
Fairview Heights, IL 62208
Phone (618) 632-3040
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Belleville, IL
- NPI 1780772053
Corneal and Contact Management
-
- Optometrist
- Swansea, IL
- NPI 1265107643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407196800000",
"number": "1336222124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK PLACE PROFESSIONAL CENTRE",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62226",
"telephone_number": "618-233-3040",
"fax_number": "618-233-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK PLACE PROFESSIONAL CTR.",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622262943",
"telephone_number": "618-233-3040",
"fax_number": "618-233-3739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. BECHERER, BECHERER & ASSOCIATES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2014-08-05",
"status": "A",
"authorized_official_last_name": "BECHERER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-233-3040",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "046006704",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NUMBER",
"identifier": "CE1726",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.