Organization Active NPI

Becvar Optometry, LLC

  • Eyewear Supplier
  • Jefferson City, MO
National Provider Identifier
1861527699
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2004020693 Issued in MO
Legal business name
BECVAR OPTOMETRY, LLC
Doing business as
Diamond Eyecare
Practice address
823 Eastland Dr
Jefferson City, MO 65101-3893
Phone
(573) 893-4223
Fax
(573) 893-6214
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Dr. Allen Gerard Becvar, O.D.NPI 1417976390
Title
Owner
Phone
(573) 893-4223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2004020693 MO Primary

Addresses

Primary practice location

823 Eastland Dr
Jefferson City, MO 65101-3893

Mailing address

823 Eastland Dr
Jefferson City, MO 65101-3893
Phone (573) 893-4223

Other identifiers 1

IdentifierTypeStateIssuer
504030008MedicaidMO

Other names 1

  • Diamond Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

823 Eastland Dr
Jefferson Cty, MO 65101
Phone (573) 893-4223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1861527699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 EASTLAND DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013893",
            "telephone_number": "573-893-4223",
            "fax_number": "573-893-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 EASTLAND DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013893",
            "telephone_number": "573-893-4223",
            "fax_number": "573-893-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECVAR OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "BECVAR",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-893-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "2004020693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504030008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.