Individual provider Active NPI

Kayla Miller Bechthold, OD

  • Optometrist
  • Chisholm, MN
National Provider Identifier
1811924772
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2696 Issued in MN
Practice address
11 1St Ave NW
Chisholm, MN 55719
Phone
(218) 254-4393
Fax
(218) 786-9375
NPI assigned
Jun 27, 2006
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2696 MN Primary

Addresses

Primary practice location

11 1St Ave NW
Chisholm, MN 55719

Mailing address

11 1St Ave NW
Chisholm, MN 55719-1811
Phone (218) 254-4393

Other identifiers 1

IdentifierTypeStateIssuer
714754600MedicaidMN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040818001050 MN Practitioner - Optometry 7214838333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic North Professional AssociationGroup PAC ID 9638471444, 3 clinicians

Practice addresses (Care Compare)

1311 E 34TH St
Hibbing, MN 55746-3510
Phone (218) 263-3633

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
95.97
Improvement activities
40
Cost
53.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2715WIMDDentist
2696MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic North, Professional Association Optometrist CurrentSince Jun 30, 2024 Accepting new patients
Eye Clinic North, Professional Association Optometrist CurrentSince Jun 30, 2024 Accepting new patients
Bechthold Eye Care PA Optometrist CurrentSince Apr 10, 2019 Accepting new patients
Vision Pro Optometrist Past Accepting new patients
Weis Eye Center PastSince Aug 5, 2019 Accepting new patients
Vision Pro II Inc Optometrist PastSince Aug 1, 2012 Accepting new patients

Locations

11 1st Ave NW
Chisholm, MN 55719
Phone (218) 254-4393

1311 E 34th St
Hibbing, MN 55746
Phone (218) 263-3633

807 N 6th Ave
Virginia, MN 55792
Phone (218) 741-5886

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1811924772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 1ST AVE NW",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "557191811",
            "telephone_number": "218-254-4393",
            "fax_number": "218-786-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 1ST AVE NW",
            "city": "CHISHOLM",
            "state": "MN",
            "postal_code": "55719",
            "telephone_number": "218-254-4393",
            "fax_number": "218-786-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHTHOLD",
        "first_name": "KAYLA",
        "middle_name": "MILLER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714754600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisholm, MN

Sources for this page

Verify at the official NPI Registry.