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Clarkson Optometry Inc

Organization Active NPI Optometrist · Warrenton, MO

NPI 1275729451 · NPPES record last updated Jul 5, 2019

Key facts

NPI
1275729451
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
T02356 (MO)
Legal business name
CLARKSON OPTOMETRY INC
Practice address
514 Warren County Ctr
Warrenton, MO 63383-3023
Phone
(636) 200-4393
Fax
(636) 377-2056
NPI assigned
Sep 20, 2007
Organization subpart
No

Authorized official

Name
James Wachter
Title
Cpo/Vice Chairman
Phone
(636) 200-4393

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

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

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190304001642 MO DME Supplier - Physician - Optometrist 0840411799 Practice locations: Warrenton, MO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP		 152W00000X T02356 MO Yes

Addresses

Primary practice location

514 Warren County Ctr
Warrenton, MO 63383-3023

Mailing address

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

Other names

  • Clarkson Eyecare Doing business as

Other providers in Warrenton, MO

All providers in Warrenton, MO · Optometrist in Missouri

Sources for this page

Verify at the official NPI Registry.