Paul Douglas Becherer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-006704 Issued in IL

Practice address

1 Park Place Professional Ctr.
Belleville, IL 62226-2943

Phone

(618) 233-3040

Fax

(618) 233-3739

NPI assigned

Oct 11, 2006

Last updated

Feb 20, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Southern College of Optometry, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Becherer Becherer and Associates LTDGroup PAC ID 0648286500, 2 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.

• DRS. Becherer, Becherer & Associates, LTD

  • Corneal and Contact Management Optometrist
  • Belleville, IL
  • NPI 1336222124
  Medicare reassignment Care Compare group NPD Authorized official
• Associated Vision Care, LTD

  dba Lakepointe Vision Care

  • Optometrist
  • O'Fallon, IL
  • NPI 1689370827
  Medicare reassignment NPD Authorized official
• Blink LLC

  dba Lakepointe Vision Center

  • Optometrist
  • O'Fallon, IL
  • NPI 1629187208
  NPD (past)
• Premium Vision Solutions, LLC

  dba Fontana Eyecare Associates

  • Optometrist
  • Saint Louis, MO
  • NPI 1174944011
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1780772053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [
        {
            "address_1": "1003 E Wesley Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622696142",
            "country_code": "US",
            "telephone_number": "618-624-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECHERER",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-006704",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-006704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Davis Baur, NP
• Matthew Michael Bayes
• Lauren E Beach, MPT
• Charity Sade Bean, DOULA
• Kelsey Beasley
• Richard D Becherer, CRNA
• Joyce Marie Becker, P.T.A. AND CRTT
• Marcia Ann Becker, CRNA
• Lakshmi R. Beeravolu, MD
• Behavior Innovation Group, LLC

• Optometrist in Belleville, IL
• Providers in Belleville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.