NPIMap

James Wachter, O.D.

Individual provider Active NPI Optometrist · Ellisville, MO

NPI 1689670697 · NPPES record last updated Jul 17, 2018

Key facts

NPI
1689670697
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
T03019 (MO)
Practice address
194 Clarkson Rd
Ellisville, MO 63011
Phone
(636) 227-2020
Fax
(636) 227-9968
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 52

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

View all 52

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

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

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03019 MO Yes

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

IdentifierTypeStateIssuer
410034998OtherMORAILROAD MEDICARE
313710733MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2018.

{
    "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

All providers in Ellisville, MO · Optometrist in Missouri

Sources for this page

Verify at the official NPI Registry.