Individual provider Active NPI

James Wachter, O.D.

  • Optometrist
  • Ellisville, MO
National Provider Identifier
1689670697
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03019 Issued in MO
Practice address
194 Clarkson Rd
Ellisville, MO 63011
Phone
(636) 227-2020
Fax
(636) 227-9968
NPI assigned
Jun 23, 2005
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03019 MO Primary

Addresses

Primary practice location

194 Clarkson Rd
Ellisville, MO 63011

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
410034998OtherMORAILROAD MEDICARE
313710733MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry, Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Heritage Eye Surgery Center, LLC PastSince Nov 20, 2020 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry, Inc Optometrist Past Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist PastSince Feb 19, 2018 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist PastSince Apr 10, 2017 Accepting new patients
May & Hettler, O.D., PLLC Optometrist PastSince Dec 23, 2020 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
System Optics LLC PastSince May 21, 2021 Accepting new patients
Bennett Optometry LLC Optometrist PastSince Jan 1, 2016 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Midwest Inc Optometrist PastSince Sep 25, 2014 Accepting new patients
JFJ Eyecare LTD Optometrist PastSince Sep 23, 2016 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry, Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
The Ophthalmology Group, LLC Optometrist PastSince Mar 29, 2021 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Ebsc, LLC PastSince Dec 8, 2020 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Illinois, P.C. Optometrist PastSince Jan 1, 2016 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Eyecare Associates, Inc. Optometrist PastSince Aug 1, 2015 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecmo
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jjwachter@direct.eyecare-partners.com

Organizations & group practices 201

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 201

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1689670697",
    "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": "636-938-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-227-2020",
            "fax_number": "636-227-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410034998",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313710733",
            "state": "MO"
        }
    ],
    "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 Jul 17, 2018; 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.