Active NPI
Clarkson Optometry, Inc
- Optometrist
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03019
- Legal business name
- CLARKSON OPTOMETRY, INC
- Practice address
- 217 Clarkson Rd
Ellisville, MO 63011-2219 - Phone
- (636) 200-4393
- Fax
- (636) 200-4020
- NPI assigned
- Aug 28, 2014
- Last updated
- Dec 17, 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
- Dr. James J Wachter, O.D.
- Title
- Chief Professional Officer
- 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 | T03019 | MO | Primary |
Addresses
Primary practice location
217 Clarkson Rd
Ellisville, MO 63011-2219
Mailing address
PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393
Other practice location 1
7872 Market Blvd
Chanhassen, MN 55317-9440
Phone (952) 934-1424
Other practice location 2
9721 Lyndale Ave S
Bloomington, MN 55420-4232
Phone (952) 884-8338
Other practice location 3
1731 17th Ave E
Shakopee, MN 55379-3372
Phone (952) 445-5600
Other practice location 4
194 Clarkson Rd
Ellisville, MO 63011-2244
Phone (636) 227-2020
Other practice location 5
8821 LaDue Rd
Saint Louis, MO 63124-2045
Phone (314) 450-7305
Other practice location 6
330 W Osage St
Pacific, MO 63069-1331
Phone (636) 271-4500
Other practice location 7
699 Gravois Bluffs Blvd Ste B
Fenton, MO 63026-7745
Phone (636) 349-3005
Other practice location 8
11433 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 432-1134
Other practice location 9
730 S Kirkwood Rd
Kirkwood, MO 63122-5929
Phone (314) 821-2626
Other practice location 10
1729 Clarkson Rd
Chesterfield, MO 63017-4977
Phone (636) 733-0090
Other practice location 11
2946 Highway K
O Fallon, MO 63368-7861
Phone (636) 240-1516
Other practice location 12
933 Highway K
O Fallon, MO 63366-2910
Phone (636) 379-4288
Other practice location 13
32 4 Seasonsshop Ctr
Chesterfield, MO 63017-3103
Phone (314) 469-3937
Other practice location 14
3936 Vogel Rd
Arnold, MO 63010-3790
Phone (636) 282-4982
Other practice location 15
8562 Eager Rd # 66
Brentwood, MO 63144-1435
Phone (314) 785-7272
Other practice location 16
14842 Manchester Rd
Ballwin, MO 63011-4620
Phone (636) 557-2020
Other practice location 17
2185 S Mason Rd
Saint Louis, MO 63131-1640
Phone (314) 821-5666
Other practice location 18
390 Mid Rivers Mall Dr
Saint Peters, MO 63376-1565
Phone (636) 279-2020
Other practice location 19
17249 Chesterfield Airport Rd
Chesterfield, MO 63005-1423
Phone (636) 787-7000
Other practice location 20
3533 Dunn Rd
Florissant, MO 63033-6783
Phone (314) 838-2100
Other practice location 21
2404 Taylor Rd
Wildwood, MO 63040-1222
Phone (636) 458-8787
Other practice location 22
227 Salt Lick Rd
Saint Peters, MO 63376-5974
Phone (636) 970-0250
Other practice location 23
7335 Manchester Rd
Maplewood, MO 63143-3107
Phone (314) 645-1575
Other practice location 24
2572 LeMay Ferry Rd
Saint Louis, MO 63125-3131
Phone (314) 892-3321
Other practice location 25
9540 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 962-3830
Other practice location 26
8658 Big Bend Blvd
Webster Groves, MO 63119-3839
Phone (314) 968-4243
Other practice location 27
2698 Gravois Rd
High Ridge, MO 63049-2508
Phone (636) 677-1166
Other practice location 28
54 The Legends Pkwy Ste 151
Eureka, MO 63025-3803
Phone (636) 938-7010
Other practice location 29
1595 Denmark Rd
Union, MO 63084-4911
Phone (636) 584-8989
Other practice location 30
1894 Wentzville Pkwy
Wentzville, MO 63385-3820
Phone (636) 887-4000
Other practice location 31
341A N Creek Dr
Festus, MO 63028-2657
Phone (636) 931-5665
Other practice location 32
514 Warren County Ctr
Warrenton, MO 63383-3023
Phone (636) 377-2054
Other practice location 33
83 The Plz
Troy, MO 63379-1365
Phone (636) 462-3958
Other practice location 34
3071 Phoenix Center Dr
Washington, MO 63090-5690
Phone (636) 777-2345
Other practice location 35
1259 Main St
Imperial, MO 63052-3852
Phone (636) 461-0470
Other practice location 36
6313 Ronald Reagan Dr
Lake St Louis, MO 63367-2681
Phone (636) 561-2342
Other practice location 37
1028 Town and Country Crossing Dr
Chesterfield, MO 63017-0610
Phone (636) 230-9190
Other practice location 38
230 N Lindbergh Blvd
Florissant, MO 63031-5904
Phone (314) 921-9377
Other practice location 39
2121 Zumbehl Rd
Saint Charles, MO 63303-2724
Phone (636) 949-2906
Other practice location 40
6157 Mid Rivers Mall Dr
Saint Peters, MO 63304-1105
Phone (636) 926-3647
Other practice location 41
4305 Butler Hill Rd
Saint Louis, MO 63128-3702
Phone (314) 487-4744
Other practice location 42
6415 Chippewa St
Saint Louis, MO 63109-2104
Phone (314) 457-1880
Other practice location 43
917 Olive St
Saint Louis, MO 63101-1418
Phone (314) 621-5303
Other practice location 44
12406 Tesson Ferry Rd
Saint Louis, MO 63128-2702
Phone (314) 843-1716
Other practice location 45
11941 Manchester Rd
Des Peres, MO 63131-4502
Phone (314) 884-2380
Other practice location 46
7 N Euclid Ave
Saint Louis, MO 63108-1445
Phone (314) 884-2382
Other practice location 47
8031 W Florissant Ave Ste C
Jennings, MO 63136-1400
Phone (314) 222-2071
Other practice location 48
9082 Overland Plz
Overland, MO 63114-6122
Phone (314) 227-1132
Other practice location 49
5632 Telegraph Rd # A
Saint Louis, MO 63129-4243
Phone (314) 334-7000
Other practice location 50
3122 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 450-7313
Other practice location 51
12681 Dorsett Rd
Maryland Heights, MO 63043-2100
Phone (314) 786-3800
Other practice location 52
10101 Gravois Rd
Affton, MO 63123-4025
Phone (314) 282-9050
Other practice location 53
100 S Jackson St
Perryville, MO 63775-2517
Phone (573) 547-6233
Other practice location 54
537 W Karsch Blvd
Farmington, MO 63640-3312
Phone (573) 747-4133
Other practice location 55
100 Brickton Rd Ste 102
Columbia, MO 65201-7640
Phone (573) 303-3937
Other practice location 56
1020 E Green Meadows Rd Ste 100
Columbia, MO 65201-3756
Phone (573) 303-3960
Other practice location 57
2925 N Belt Hwy
Saint Joseph, MO 64506-2006
Phone (816) 364-0450
Other practice location 58
510 Freeport Ave NW Ste C
Elk River, MN 55330-3007
Phone (763) 441-3431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141020000232 | MO | Part B Supplier - Clinic/Group Practice | 0840411799 |
Receives reassigned benefits from 119 practitioners 1 other NPI on this enrollment |
| O20200909003069 | MN | Part B Supplier - Clinic/Group Practice | 0840411799 |
Receives reassigned benefits from 12 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chanhassen, MN; Shakopee, MN; Elk River, MN; Bloomington, MN |
Other NPIs with the same Medicare PAC ID 16
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Clarkson Eyecare
- Optometrist
- Chanhassen, MN
- NPI 1982236980
O20200909003069
-
dba Clarkson Eyecare
- Optometrist
- Shakopee, MN
- NPI 1154953156
O20200909003069
-
dba Clarkson Eyecare
- Optometrist
- Bloomington, MN
- NPI 1326670324
O20200909003069
National Provider Directory
National Provider Directory- Tax ID family
- Clarkson Optometry Inc
Other organizations with this tax ID 43
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1731 17th Ave E
Shakopee, MN 55379
Phone (952) 445-5600
14842 Manchester Rd
Ballwin, MO 63011
Phone (636) 557-2020
17249 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (636) 787-0085
217 Clarkson Rd
Ellisville, MO 63011
537 W Karsch Blvd
Farmington, MO 63640
Phone (573) 747-4133
699 Gravois Bluffs Blvd
Ste B
Fenton, MO 63026
Phone (636) 349-3005
6313 Ronald Reagan Dr
Lake St Louis, MO 63367
Phone (636) 561-2342
2185 S Mason Rd
Saint Louis, MO 63131
Phone (314) 389-2020
2572 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 892-3321
6415 Chippewa St
Saint Louis, MO 63109
Phone (314) 457-1880
7335 Manchester Rd
Saint Louis, MO 63143
Phone (314) 645-1475
8821 Ladue Rd
Saint Louis, MO 63124
Phone (314) 450-7305
Practitioners & affiliated clinicians
Practitioners 127
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
- Overland, MO
- NPI 1386053254
-
- Optometrist
- Earth City, MO
- NPI 1023798790
-
- Optometrist
- Saint Joseph, MO
- NPI 1154379535
-
- Optometrist
- Creve Coeur, MO
- NPI 1093711137
-
- Optometrist
- Washington, MO
- NPI 1336145481
-
- Optometrist
- O'Fallon, MO
- NPI 1386361319
-
- Optometrist
- Creve Coeur, MO
- NPI 1033306709
-
- Optometrist
- Farmington, MO
- NPI 1255125209
-
- Optometrist
- Saint Louis, MO
- NPI 1275898173
-
- Optometrist
- Imperial, MO
- NPI 1871228551
-
- Optometrist
- Warrenton, MO
- NPI 1831401991
-
- Optometrist
- Eureka, MO
- NPI 1629074620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608163200000",
"number": "1497155345",
"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": "217 CLARKSON RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112219",
"telephone_number": "636-200-4393",
"fax_number": "636-200-4020"
}
],
"practiceLocations": [
{
"address_1": "7872 Market Blvd",
"address_purpose": "LOCATION",
"city": "Chanhassen",
"state": "MN",
"postal_code": "553179440",
"country_code": "US",
"telephone_number": "952-934-1424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9721 Lyndale Ave S",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554204232",
"country_code": "US",
"telephone_number": "952-884-8338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1731 17th Ave E",
"address_purpose": "LOCATION",
"city": "Shakopee",
"state": "MN",
"postal_code": "553793372",
"country_code": "US",
"telephone_number": "952-445-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "194 Clarkson Rd",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MO",
"postal_code": "630112244",
"country_code": "US",
"telephone_number": "636-227-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8821 LaDue Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631242045",
"country_code": "US",
"telephone_number": "314-450-7305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 W Osage St",
"address_purpose": "LOCATION",
"city": "Pacific",
"state": "MO",
"postal_code": "630691331",
"country_code": "US",
"telephone_number": "636-271-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "699 Gravois Bluffs Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630267745",
"country_code": "US",
"telephone_number": "636-349-3005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11433 Olive Blvd",
"address_purpose": "LOCATION",
"city": "Creve Coeur",
"state": "MO",
"postal_code": "631417108",
"country_code": "US",
"telephone_number": "314-432-1134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 S Kirkwood Rd",
"address_purpose": "LOCATION",
"city": "Kirkwood",
"state": "MO",
"postal_code": "631225929",
"country_code": "US",
"telephone_number": "314-821-2626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1729 Clarkson Rd",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630174977",
"country_code": "US",
"telephone_number": "636-733-0090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2946 Highway K",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633687861",
"country_code": "US",
"telephone_number": "636-240-1516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "933 Highway K",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633662910",
"country_code": "US",
"telephone_number": "636-379-4288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32 4 Seasonsshop Ctr",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630173103",
"country_code": "US",
"telephone_number": "314-469-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3936 Vogel Rd",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630103790",
"country_code": "US",
"telephone_number": "636-282-4982",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8562 Eager Rd # 66",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "MO",
"postal_code": "631441435",
"country_code": "US",
"telephone_number": "314-785-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14842 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Ballwin",
"state": "MO",
"postal_code": "630114620",
"country_code": "US",
"telephone_number": "636-557-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2185 S Mason Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631311640",
"country_code": "US",
"telephone_number": "314-821-5666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "390 Mid Rivers Mall Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633761565",
"country_code": "US",
"telephone_number": "636-279-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17249 Chesterfield Airport Rd",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630051423",
"country_code": "US",
"telephone_number": "636-787-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3533 Dunn Rd",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630336783",
"country_code": "US",
"telephone_number": "314-838-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2404 Taylor Rd",
"address_purpose": "LOCATION",
"city": "Wildwood",
"state": "MO",
"postal_code": "630401222",
"country_code": "US",
"telephone_number": "636-458-8787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "227 Salt Lick Rd",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633765974",
"country_code": "US",
"telephone_number": "636-970-0250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7335 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MO",
"postal_code": "631433107",
"country_code": "US",
"telephone_number": "314-645-1575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2572 LeMay Ferry Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631253131",
"country_code": "US",
"telephone_number": "314-892-3321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9540 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631191313",
"country_code": "US",
"telephone_number": "314-962-3830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8658 Big Bend Blvd",
"address_purpose": "LOCATION",
"city": "Webster Groves",
"state": "MO",
"postal_code": "631193839",
"country_code": "US",
"telephone_number": "314-968-4243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2698 Gravois Rd",
"address_purpose": "LOCATION",
"city": "High Ridge",
"state": "MO",
"postal_code": "630492508",
"country_code": "US",
"telephone_number": "636-677-1166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "54 The Legends Pkwy Ste 151",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "MO",
"postal_code": "630253803",
"country_code": "US",
"telephone_number": "636-938-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1595 Denmark Rd",
"address_purpose": "LOCATION",
"city": "Union",
"state": "MO",
"postal_code": "630844911",
"country_code": "US",
"telephone_number": "636-584-8989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1894 Wentzville Pkwy",
"address_purpose": "LOCATION",
"city": "Wentzville",
"state": "MO",
"postal_code": "633853820",
"country_code": "US",
"telephone_number": "636-887-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "341A N Creek Dr",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630282657",
"country_code": "US",
"telephone_number": "636-931-5665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "514 Warren County Ctr",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "MO",
"postal_code": "633833023",
"country_code": "US",
"telephone_number": "636-377-2054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "83 The Plz",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MO",
"postal_code": "633791365",
"country_code": "US",
"telephone_number": "636-462-3958",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3071 Phoenix Center Dr",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630905690",
"country_code": "US",
"telephone_number": "636-777-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1259 Main St",
"address_purpose": "LOCATION",
"city": "Imperial",
"state": "MO",
"postal_code": "630523852",
"country_code": "US",
"telephone_number": "636-461-0470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6313 Ronald Reagan Dr",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633672681",
"country_code": "US",
"telephone_number": "636-561-2342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1028 Town and Country Crossing Dr",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630170610",
"country_code": "US",
"telephone_number": "636-230-9190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 N Lindbergh Blvd",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630315904",
"country_code": "US",
"telephone_number": "314-921-9377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 Zumbehl Rd",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633032724",
"country_code": "US",
"telephone_number": "636-949-2906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6157 Mid Rivers Mall Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633041105",
"country_code": "US",
"telephone_number": "636-926-3647",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4305 Butler Hill Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631283702",
"country_code": "US",
"telephone_number": "314-487-4744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6415 Chippewa St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631092104",
"country_code": "US",
"telephone_number": "314-457-1880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "917 Olive St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631011418",
"country_code": "US",
"telephone_number": "314-621-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12406 Tesson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282702",
"country_code": "US",
"telephone_number": "314-843-1716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11941 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Des Peres",
"state": "MO",
"postal_code": "631314502",
"country_code": "US",
"telephone_number": "314-884-2380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631081445",
"country_code": "US",
"telephone_number": "314-884-2382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8031 W Florissant Ave Ste C",
"address_purpose": "LOCATION",
"city": "Jennings",
"state": "MO",
"postal_code": "631361400",
"country_code": "US",
"telephone_number": "314-222-2071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9082 Overland Plz",
"address_purpose": "LOCATION",
"city": "Overland",
"state": "MO",
"postal_code": "631146122",
"country_code": "US",
"telephone_number": "314-227-1132",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5632 Telegraph Rd # A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631294243",
"country_code": "US",
"telephone_number": "314-334-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3122 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631181012",
"country_code": "US",
"telephone_number": "314-450-7313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12681 Dorsett Rd",
"address_purpose": "LOCATION",
"city": "Maryland Heights",
"state": "MO",
"postal_code": "630432100",
"country_code": "US",
"telephone_number": "314-786-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10101 Gravois Rd",
"address_purpose": "LOCATION",
"city": "Affton",
"state": "MO",
"postal_code": "631234025",
"country_code": "US",
"telephone_number": "314-282-9050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 S Jackson St",
"address_purpose": "LOCATION",
"city": "Perryville",
"state": "MO",
"postal_code": "637752517",
"country_code": "US",
"telephone_number": "573-547-6233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "537 W Karsch Blvd",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636403312",
"country_code": "US",
"telephone_number": "573-747-4133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Brickton Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652017640",
"country_code": "US",
"telephone_number": "573-303-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 E Green Meadows Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652013756",
"country_code": "US",
"telephone_number": "573-303-3960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2925 N Belt Hwy",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645062006",
"country_code": "US",
"telephone_number": "816-364-0450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Freeport Ave NW Ste C",
"address_purpose": "LOCATION",
"city": "Elk River",
"state": "MN",
"postal_code": "553303007",
"country_code": "US",
"telephone_number": "763-441-3431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLARKSON OPTOMETRY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-28",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A",
"authorized_official_last_name": "WACHTER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF PROFESSIONAL OFFICER",
"authorized_official_telephone_number": "636-200-4393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.