Active NPI
Jason Bradley Bechtoldt, O.D.
- Optometrist
- Warrenton, MO
National Provider Identifier
1831400647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2010020532
- Practice address
- 277 W Veterans Memorial Pkwy
Warrenton, MO 63383-1067 - Phone
- (636) 456-2020
- Fax
- (636) 456-3411
- NPI assigned
- Jun 25, 2010
- Last updated
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2010020532 | MO | Primary |
Addresses
Primary practice location
277 W Veterans Memorial Pkwy
Warrenton, MO 63383-1067
Mailing address
277 W Veterans Memorial Pkwy
Warrenton, MO 63383-1067
Phone (636) 456-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pec Warrenton LLC | Optometrist | Past | Accepting new patients |
| Ernst Eye Health Associates, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Warrenton, MO
- NPI 1043829088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1831400647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 W VETERANS MEMORIAL PKWY",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831067",
"telephone_number": "636-456-2020",
"fax_number": "636-456-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 W VETERANS MEMORIAL PKWY",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831067",
"telephone_number": "636-456-2020",
"fax_number": "636-456-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHTOLDT",
"first_name": "JASON",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2010020532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, MO
- Deanna Aslin
- Danielle Marie Aubuchon, LCSW
- Babar Enterprises LLC (Excel Sports and Physical Therapy)
- Bankhead DDS Warrenton Orthodontics PC (Warrenton Orthodontics)
- Danielle Barclay
- Abagail Behlmann
- Sarah Benson, PA-C
- Jennifer M Bernstein, LPC
- Biermann Eye Health P.C. (Ernst Eye Health Associates)
- Elyce Bishop, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.