Clarkson Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CLARKSON EYECARE

Practice address

2404 Taylor Rd
Wildwood, MO 63040-1222

Phone

(636) 458-8787

NPI assigned

May 17, 2006

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kris Caldwell

Title

Manager of Central Operations

Phone

(636) 200-4393

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clarkson Eyecare LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Clarkson Eyecare

  • Optometrist
  • Eureka, MO
  • NPI 1205817731
  NPD tax ID
• Clarkson Eyecare

  • Optometrist
  • House Springs, MO
  • NPI 1386697910
  NPD tax ID
• Clarkson Eyecare Inc

  • Optometrist
  • Eureka, MO
  • NPI 1780643304
  NPD tax ID
• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Florissant, MO
  • NPI 1609828540
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1164475810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 TAYLOR RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401222",
            "telephone_number": "636-458-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 TAYLOR RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401222",
            "telephone_number": "636-458-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "MANAGER OF CENTRAL OPERATIONS",
        "authorized_official_telephone_number": "636-200-4393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glennia J Chitwood, D.C.
• Chung Wei Chiu-Begemann, MPT
• Christopher Kling, M.D., Inc.
• Heather W Clark, PH.D., L.P.C.
• Julie Lynn Clark
• Erin Danielle Coats
• Courtney Cole, DNP, APRN, WHNP-BC
• Mary Collins
• Peggy Ann Collins, R.N.
• Stephanie Anne Cook, LPC

• Optometrist in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.