Active NPI
James Wachter, O.D.
- Optometrist
- Ellisville, MO
National Provider Identifier
1689670697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03019
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410034998 | Other | MO | RAILROAD MEDICARE |
| 313710733 | Medicaid | MO |
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
| Organization | Specialty | Status | 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 |
| Heritage Eye Surgery Center, LLC | Past | 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 | Past | Accepting new patients |
| Clarkson Optometry Georgia Inc | Optometrist | Past | Accepting new patients |
| May & Hettler, O.D., PLLC | 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 |
| System Optics LLC | Past | Accepting new patients | |
| Bennett Optometry LLC | Optometrist | Past | Accepting new patients |
| Clarkson Optometry Inc | Optometrist | Past | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Past | Accepting new patients |
| JFJ Eyecare LTD | 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 |
| The Ophthalmology Group, LLC | 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 | 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 | 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 | 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 |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ecp_cecga
- https://app.meldrx.com/api/fhir/ecp_cecmo
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
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.