Active NPI
Clarkson Optometry Midwest Inc
Doing business as Clarkson Eyecare
- Optometrist
- Mansfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4193T1387
- Legal business name
- CLARKSON OPTOMETRY MIDWEST INC
- Doing business as
- Clarkson Eyecare
- Practice address
- 1164 Lexington Ave
Mansfield, OH 44907-2254 - Phone
- (636) 200-4393
- NPI assigned
- Oct 19, 2007
- Last updated
- Aug 13, 2019
- 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, OD
- Title
- Cmo
- 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 | 4193T1387 | OH | Primary |
Addresses
Primary practice location
1164 Lexington Ave
Mansfield, OH 44907-2254
Mailing address
PO Box 207170
Dallas, TX 75320-7156
Phone (636) 200-4393
Other names 1
- Clarkson Eyecare
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
833 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0500
Practitioners & affiliated clinicians
Practitioners 2
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
- Plain City, OH
- NPI 1821038050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565654400000",
"number": "1487843033",
"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": "753207156",
"telephone_number": "636-200-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072254",
"telephone_number": "636-200-4393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSON OPTOMETRY MIDWEST INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2019-08-13",
"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",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4193T1387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarkson Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.