Clarkson Optometry Illinois PC

Optometrist · Columbia, IL

Organization Active NPI

NPI number 1508083502

Practice location

1025 Columbia Ctr
Columbia, IL 62236-2546
Phone
(636) 200-4393
Fax
(618) 281-3927

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NPI record

NPI
1508083502
Entity type
Organization (Type 2)
Enumeration date
April 19, 2007
Last updated
June 21, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

PO Box 207163
Dallas, TX 75320-7154
Phone
(636) 200-4393
Fax
(636) 527-0766

Authorized official

Name
Dr. James J Wachter, OD
Title
CMO
Phone
(636) 200-4393

About Clarkson Optometry Illinois PC

Clarkson Optometry Illinois PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1025 Columbia Ctr, Columbia, IL 62236-2546. The NPI number 1508083502 was assigned on April 19, 2007 and the record was last updated on June 21, 2019.

The authorized official for this organization is Dr. James J Wachter, OD, CMO.

Frequently asked questions

What is the NPI number of Clarkson Optometry Illinois PC?

The NPI number is 1508083502.

What is the phone number of Clarkson Optometry Illinois PC?

The phone number listed for the practice location is (636) 200-4393.

Where is Clarkson Optometry Illinois PC located?

1025 Columbia Ctr, Columbia, IL 62236-2546.

What is the taxonomy code for Clarkson Optometry Illinois PC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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