Provider Demographics
NPI:1376537936
Name:BECHTEL, RICHARD A (OD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:BECHTEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1422
Mailing Address - Country:US
Mailing Address - Phone:570-523-1100
Mailing Address - Fax:570-523-0510
Practice Address - Street 1:408 MARKET ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1422
Practice Address - Country:US
Practice Address - Phone:570-523-1100
Practice Address - Fax:570-523-0510
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000547152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA441580777OtherMEDICARE PIN (RR#)
PA000550897Medicaid
PA043425Medicare PIN