Organization Active NPI

DRS. Becherer, Becherer & Associates, LTD

  • Corneal and Contact Management Optometrist
  • Belleville, IL
National Provider Identifier
1336222124
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
046006704 Issued in IL
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

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Paul Douglas Becherer, O.D.NPI 1780772053
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)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CE1726OtherILRAILROAD MEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060301000564 IL Part B Supplier - Clinic/Group Practice 0648286500 Receives reassigned benefits from 3 practitioners
Practice locations: Swansea, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.