NPIMap

Organization Active NPI

3F Vision LLC

Doing business as Clarkson Eyecare

  • Optometrist
  • Fairview Heights, IL
National Provider Identifier
1235326034
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0046.009944 Issued in IL
Legal business name
3F VISION LLC
Doing business as
Clarkson Eyecare
Practice address
10 Lincoln Hwy
Suite 101
Fairview Heights, IL 62208-2100
Phone
(636) 200-4393
Fax
(618) 624-4930
NPI assigned
Sep 26, 2007
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Jessica Holt
Title
Director of Central Operations
Phone
(636) 200-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0046.009944 IL Primary

Addresses

Primary practice location

10 Lincoln Hwy
Suite 101
Fairview Heights, IL 62208-2100

Mailing address

40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393

Other identifiers 1

IdentifierTypeStateIssuer
0360070026OtherILDMERC

Other names 1

  • Clarkson Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
3F Vision LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1235326034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E NORTH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251205",
            "telephone_number": "636-200-4393",
            "fax_number": "636-938-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINCOLN HWY",
            "address_2": "SUITE 101",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082100",
            "telephone_number": "636-200-4393",
            "fax_number": "618-624-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3F VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRAL OPERATIONS",
        "authorized_official_telephone_number": "636-200-4393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046.009944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0360070026",
            "state": "IL"
        }
    ],
    "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 Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.