Clarkson Optometry Midwest Inc

A Medicare group practice based in Columbus, OH: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 0749504165), with 160 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0749504165The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IN, KY, OH
Enrollments
10
Group size
78 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
65In 42 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20160526000461 KY Part B Supplier - Clinic/Group Practice 1073917597
O20150113001118 OH Part B Supplier - Clinic/Group Practice 1073917597
O20171206000807 KY DME Supplier - Physician - Optometrist 1356750848
O20190327002362 IN Part B Supplier - Clinic/Group Practice 1295772143
O20190716002507 KY DME Supplier - Physician - Optometrist 1497948541
O20200820000405 KY DME Supplier - Physician - Optometrist 1073550927
O20200729002975 KY DME Supplier - Physician - Optometrist 1750662276
O20250819000520 OH DME Supplier - Physician - Optometrist 1467342873
O20250808001460 OH DME Supplier - Physician - Optometrist 1366332777
O20250724004146 OH DME Supplier - Physician - Optometrist 1003348327

NPIs in this group 19

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (2)
  • Bardstown, KY1
  • Shepherdsville, KY1

Clinicians 160

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (160) or whom Care Compare lists as members (78).

Sources for this page