Active NPI
Clarkson Eyecare Center, Inc
- Optometrist
- Ellisville, MO
National Provider Identifier
1710925698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CLARKSON EYECARE CENTER, INC
- Practice address
- 194 Clarkson Rd
Ellisville, MO 63011-2244 - Phone
- (636) 227-2020
- NPI assigned
- Jun 3, 2006
- Last updated
- Nov 21, 2007
- 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
- Kris Caldwell
- Title
- Director of Central Operations
- Phone
- (636) 200-4393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
194 Clarkson Rd
Ellisville, MO 63011-2244
Mailing address
40 E North St
Eureka, MO 63025
Phone (636) 200-4393
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1710925698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 E NORTH ST",
"city": "EUREKA",
"state": "MO",
"postal_code": "63025",
"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": "630112244",
"telephone_number": "636-227-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSON EYECARE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-11-21",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "KRIS",
"authorized_official_title_or_position": "DIRECTOR OF CENTRAL OPERATIONS",
"authorized_official_telephone_number": "636-200-4393"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"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 Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.