Phillip John Becker II, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

742 Issued in SD

Practice address

1415 N Sanborn Blvd
Mitchell, SD 57301

Phone

(605) 996-2020

NPI assigned

Apr 24, 2018

Last updated

Jun 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Krall Optometric Prof LLCGroup PAC ID 4284711391, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Krall Optometric Prof LLC

  dba Krall Eye Clinic

  • Optometrist
  • Mitchell, SD
  • NPI 1013049410
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1407344559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011015",
            "telephone_number": "605-996-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "57301",
            "telephone_number": "605-996-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "PHILLIP",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bappe
• Kelli Barnhart
• Oliver John Barton, PSYD
• Sarah Lynne Bauer, NP
• Phillip J Becker, MD
• Kelsey Marie Bender, PHYSICIAN ASSISTANT
• Debra S Bergeson
• Deborah K Bessler, O.D.
• Dileep S Bhat, M D
• Kristin J Bietz, FNP

• Optometrist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.

Verify at the official NPI Registry.