Individual provider Active NPI

William Lesing Becker, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1346386372
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MDR9N88 Issued in MO
Practice address
13131 Tesson Ferry Rd Ste 108
Saint Louis, MO 63128-3887
Phone
(314) 843-5800
Fax
(314) 843-5290
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MDR9N88 MO Primary

Addresses

Primary practice location

13131 Tesson Ferry Rd Ste 108
Saint Louis, MO 63128-3887

Mailing address

13131 Tesson Ferry Rd Ste 108
Saint Louis, MO 63128-3887
Phone (314) 843-5800

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000498 MO Practitioner - Ophthalmology 4981734928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDR9N88MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Eye Associates, LLC Ophthalmology CurrentSince Mar 1, 2019 Accepting new patients
St. Louis Eye Clinic Past Accepting new patients
St. Louis Eye Clinic Ophthalmology PastSince Jan 1, 2009 Accepting new patients

Locations

13131 Tesson Ferry Rd
Ste 108
Saint Louis, MO 63128
Phone (314) 842-2020

13131 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 729-9100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346386372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-843-5800",
            "fax_number": "314-843-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-843-5800",
            "fax_number": "314-843-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "WILLIAM",
        "middle_name": "LESING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "MDR9N88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.