NPIMap

Organization Active NPI

Clarkson Optometry Inc

Doing business as Clarkson Eyecare

  • Optometrist
  • Pacific, MO
National Provider Identifier
1215980875
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARKSON OPTOMETRY INC
Doing business as
Clarkson Eyecare
Practice address
330 W Osage St
Pacific, MO 63069-1331
Phone
(636) 200-4393
NPI assigned
May 17, 2006
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
James WachterNPI 1689670697
Title
Cmo
Phone
(636) 200-4393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

330 W Osage St
Pacific, MO 63069-1331

Mailing address

PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393

Other names 1

  • Clarkson Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarkson Optometry Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2121 S State Route 157
Edwardsville, IL 62025
Phone (618) 656-7774

10840 Lincoln Trl
Fairview Hts, IL 62208
Phone (618) 397-8880

3405 Nameoki Rd
Granite City, IL 62040
Phone (618) 219-8909

100 Brickton Rd
Ste 102
Columbia, MO 65201
Phone (573) 303-3937

1020 E Green Meadows Rd
Ste 100
Columbia, MO 65201
Phone (573) 303-3960

2698 Gravois Rd
High Ridge, MO 63049
Phone (636) 677-1166

19 NW Barry Rd
Kansas City, MO 64155
Phone (816) 468-4680

2101 Charlotte St
Ste 230
Kansas City, MO 64108
Phone (816) 404-9067

4320 Wornall Rd
Ste 220
Kansas City, MO 64111

9082 Overland Plz
Overland, MO 63114
Phone (314) 227-1132

6415 Chippewa St
Saint Louis, MO 63109
Phone (314) 457-1880

7 N Euclid Ave
Saint Louis, MO 63108
Phone (314) 884-2382

8031 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 222-2071

8821 Ladue Rd
Saint Louis, MO 63124
Phone (314) 450-7305

8658 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 962-3830

1894 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 887-4000

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1215980875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691331",
            "telephone_number": "636-200-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "636-200-4393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarkson Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.