Laura Ann Bequette, O.D., OTR/L

Primary specialty

OptometristTaxonomy code 152W00000X

License

2009032890 Issued in MO

Practice address

223 Main St
Festus, MO 63028-1952

Phone

(636) 937-2399

Fax

(366) 937-4683

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

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 and National Provider Directory roles.

• Eyes on Main, LLC

  • Optometrist
  • Festus, MO
  • NPI 1811567431
  Medicare reassignment NPD
• Optical Shop Inc

  • Eyewear Supplier
  • Festus, MO
  • NPI 1073607230
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1972730091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281952",
            "telephone_number": "636-937-2399",
            "fax_number": "366-937-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281952",
            "telephone_number": "636-937-2399",
            "fax_number": "366-937-4683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 Main Street Plaza",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "MO",
            "postal_code": "63052",
            "country_code": "US",
            "telephone_number": "636-461-0470",
            "fax_number": "636-461-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEQUETTE",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "O.D., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001015114",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009032890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972730091",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Kathren Bell, WHNP-BC
• Benchmark Healthcare of Festus, Inc
• Randi R Benedick
• Leah Bennett
• Muhanad Ahmed Omran Bensaleem, MD,
• Tiffani Berkel, MD, PHD
• Kathryn A Berns, NP
• Lisa Berry Lasater, CRNA
• James A Berry, LPC
• Kristie Besore

• Optometrist in Festus, MO
• Providers in Festus, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.