Active NPI
Clarkson Optometry Midwest Inc.
Doing business as Clarkson Eyecare
- Optometrist
- Ballwin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CLARKSON OPTOMETRY MIDWEST INC.
- Doing business as
- Clarkson Eyecare
- Practice address
- 15933 Clayton Rd Ste 201
Ballwin, MO 63011-2172 - Phone
- (636) 200-4393
- Fax
- (636) 527-0766
- NPI assigned
- Mar 8, 2016
- Last updated
- May 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Wachter
- Title
- Authorized Official
- Phone
- (636) 200-4393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
15933 Clayton Rd Ste 201
Ballwin, MO 63011-2172
Mailing address
PO Box 207170
Dallas, TX 75320-7170
Phone (636) 200-4393
Other practice location 1
4708 W Broad St
Columbus, OH 43228-1613
Phone (636) 200-4393 ext. 3064
Other practice location 2
6732 Perimeter Loop Rd
Dublin, OH 43017-3202
Phone (636) 200-4393 ext. 3064
Other practice location 3
636 W Schrock Rd
Westerville, OH 43081-8996
Phone (636) 200-4393 ext. 3064
Other practice location 4
1725 Brice Rd
Reynoldsburg, OH 43068-2705
Phone (636) 200-4393 ext. 3064
Other practice location 5
3697 Corporate Dr
Columbus, OH 43231-4965
Phone (636) 200-4393 ext. 3064
Other practice location 6
105 Morey Dr
Marysville, OH 43040-1647
Phone (636) 200-4393 ext. 3064
Other practice location 7
81 E Gay St
Columbus, OH 43215-3103
Phone (636) 200-4393 ext. 3064
Other practice location 8
1832 Castleton Way
Delaware, OH 43015-1301
Phone (636) 200-4393 ext. 3064
Other practice location 9
280 N High St
Columbus, OH 43215-2537
Phone (636) 200-4393 ext. 3064
Other practice location 10
105 Great Southern Blvd
Columbus, OH 43207-4001
Phone (636) 200-4393 ext. 3064
Other practice location 11
6044 Parkmeadow Ln Ste B
Hilliard, OH 43026-7406
Phone (636) 200-4393 ext. 3064
Other practice location 12
3600 Olentangy River Rd Ste B
Columbus, OH 43214-3437
Phone (636) 200-4393 ext. 3064
Other practice location 13
2978 E Broad St
Columbus, OH 43209-1965
Phone (636) 200-4393 ext. 3064
Other practice location 14
1164 Lexington Ave
Mansfield, OH 44907-2254
Phone (636) 200-4393 ext. 3064
Other practice location 15
6732 Perimeter Loop Rd
Dublin, OH 43017-3202
Phone (636) 200-4393 ext. 3064
Other practice location 16
5081 N Hamilton Rd
Columbus, OH 43230-8001
Phone (614) 473-9899
Other practice location 17
83 N Hamilton Rd
Gahanna, OH 43230-2601
Phone (614) 471-7177
Other practice location 18
3785 S High St
Columbus, OH 43207-4011
Phone (614) 491-3435
Other practice location 19
890 High St Ste A
Worthington, OH 43085-4190
Phone (636) 200-4393 ext. 3064
Other names 1
- Clarkson Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150113001118 | OH | Part B Supplier - Clinic/Group Practice | 0749504165 |
Receives reassigned benefits from 114 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gahanna, OH; Harrison, OH; Hilliard, OH; Kettering, OH; Lebanon, OH; Loveland, OH; Mansfield, OH; Marysville, OH… |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Cincinnati EyeCare Team
- Optometrist
- West Chester, OH
- NPI 1003348327
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Centerville, OH
- NPI 1073917597
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Medina, OH
- NPI 1114507951
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Uniontown, OH
- NPI 1154901015
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Wooster, OH
- NPI 1396325130
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Northfield, OH
- NPI 1669052502
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Coventry Township, OH
- NPI 1730769696
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Alliance, OH
- NPI 1851971790
O20150113001118
-
dba Clarkson Eyecare
- Optometrist
- Lebanon, OH
- NPI 1326781147
O20150113001118
National Provider Directory
National Provider Directory- Tax ID family
- Clarkson Optometry Mid Inc
Other organizations with this tax ID 22
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cincinnati EyeCare Team
- Optometrist
- West Chester, OH
- NPI 1003348327
Locations
325 E Lewis and Clark Pkwy
Ste 200
Clarksville, IN 47129
Phone (812) 288-2029
10232 Westport Rd
Louisville, KY 40241
Phone (502) 339-2042
105 Great Southern Blvd
Columbus, OH 43207
Phone (614) 491-3435
280 N High St
Columbus, OH 43215
Phone (614) 315-0018
2978 E Broad St
Columbus, OH 43209
Phone (614) 237-2099
3600 Olentangy River Rd
Ste B
Columbus, OH 43214
Phone (614) 451-7244
3697 Corporate Dr
Columbus, OH 43231
3785 S High St
Columbus, OH 43207
Phone (614) 491-3435
4708 W Broad St
Columbus, OH 43228
Phone (614) 878-7771
1164 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0500
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Optometrist
- Ellisville, MO
- NPI 1689670697
-
- Optometrist
- West Chester, OH
- NPI 1780612051
-
- Optometrist
- Fairfield, OH
- NPI 1497137970
-
- Optometrist
- Hilliard, OH
- NPI 1932691136
-
- Optometrist
- Elizabethtown, KY
- NPI 1730539461
-
- Optometrist
- Dayton, OH
- NPI 1053168054
-
- Optometrist
- Louisville, KY
- NPI 1780491555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1225499098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207170",
"city": "DALLAS",
"state": "TX",
"postal_code": "753207170",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD STE 201",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
}
],
"practiceLocations": [
{
"address_1": "4708 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432281613",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"fax_number": "614-878-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6732 Perimeter Loop Rd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430173202",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"fax_number": "614-798-9913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "636 W Schrock Rd",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430818996",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"fax_number": "614-890-5915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 Brice Rd",
"address_purpose": "LOCATION",
"city": "Reynoldsburg",
"state": "OH",
"postal_code": "430682705",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3697 Corporate Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432314965",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Morey Dr",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "OH",
"postal_code": "430401647",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "81 E Gay St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153103",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1832 Castleton Way",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430151301",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 N High St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432152537",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Great Southern Blvd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432074001",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6044 Parkmeadow Ln Ste B",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430267406",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Olentangy River Rd Ste B",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143437",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2978 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432091965",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1164 Lexington Ave",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449072254",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6732 Perimeter Loop Rd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430173202",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5081 N Hamilton Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432308001",
"country_code": "US",
"telephone_number": "614-473-9899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "83 N Hamilton Rd",
"address_purpose": "LOCATION",
"city": "Gahanna",
"state": "OH",
"postal_code": "432302601",
"country_code": "US",
"telephone_number": "614-471-7177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3785 S High St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432074011",
"country_code": "US",
"telephone_number": "614-491-3435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "890 High St Ste A",
"address_purpose": "LOCATION",
"city": "Worthington",
"state": "OH",
"postal_code": "430854190",
"country_code": "US",
"telephone_number": "636-200-4393 x3064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLARKSON OPTOMETRY MIDWEST INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-08",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "WACHTER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "636-200-4393"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarkson Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.