Provider Demographics
NPI:1558732412
Name:BECHTEL, DAVID MYLES (OD MPH MBA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MYLES
Last Name:BECHTEL
Suffix:
Gender:M
Credentials:OD MPH MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 ADRIAN ST
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:OH
Mailing Address - Zip Code:43515-9702
Mailing Address - Country:US
Mailing Address - Phone:419-508-3033
Mailing Address - Fax:
Practice Address - Street 1:619 ADRIAN ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:OH
Practice Address - Zip Code:43515-9702
Practice Address - Country:US
Practice Address - Phone:419-508-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-16
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.6426152W00000X
VA0618002460152W00000X
WV2020-IOD1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist