AHNIE BEQUETTE (OD) – Optometrist, NPI 1063300770

AHNIE BEQUETTE (OD) is a healthcare provider. based in Cape girardeau, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2025024869 (MO). The NPI Number for AHNIE BEQUETTE (OD) is 1063300770

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
AHNIE BEQUETTE (OD)
NPI
1063300770
Phone
Not provided
Address
3140 BLATTNER DR
Enumeration Date
24 June 2025
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5733342020
Graduation Year
2025 (1 year ago)
PAC ID
8224542535
Group Practice PAC ID
5496857443
Professional Enrollment ID
I20250709001635
Address ID
MO637036348CA3140XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for AHNIE BEQUETTE (OD)

  • 3140 BLATTNER DR

    CAPE GIRARDEAU, MO 637036348

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250709001635IOptometryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496857443View full group profile
NameSpecialtyState
-MO
O P T O M E T R YAR
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for AHNIE BEQUETTE (OD)?
AHNIE BEQUETTE (OD) — NPI 1063300770 — is the standard way to identify this listing.
Is AHNIE BEQUETTE (OD) still practicing?
AHNIE BEQUETTE (OD) is currently listed as active in the public NPI registry.
What taxonomy line describes AHNIE BEQUETTE (OD)?
For research purposes, treat AHNIE BEQUETTE (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for AHNIE BEQUETTE (OD)?
AHNIE BEQUETTE (OD)'s geographic hint is Cape Girardeau, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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