NPIMap

Organization Active NPI

Clarkson Optometry Inc

Doing business as Clarkson Eyecare

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1790026540
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARKSON OPTOMETRY INC
Doing business as
Clarkson Eyecare
Practice address
5632 Telegraph Rd # a
Saint Louis, MO 63129-4243
Phone
(636) 200-4393
Fax
(314) 334-7001
NPI assigned
Mar 4, 2013
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
James WachterNPI 1689670697
Title
Cmo
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)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5632 Telegraph Rd # a
Saint Louis, MO 63129-4243

Mailing address

PO Box 20158
Dallas, TX 75320-7158
Phone (636) 200-4393

Other names 1

  • Clarkson Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarkson Optometry Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Member organizations 165

Organizations listed as members of this organization in the National Provider Directory.

View all 165

Locations

1230 Columbia Centre
Columbia, IL 62236
Phone (618) 281-8611

14842 Manchester Rd
Ballwin, MO 63011
Phone (636) 557-2020

14858 Manchester Rd
Ballwin, MO 63011
Phone (636) 557-2020

8562 Eager Rd
Ste 66
Brentwood, MO 63144
Phone (314) 785-7272

11941 Manchester Rd
Ste A
Des Peres, MO 63131
Phone (314) 884-2380

699 Gravois Bluffs Blvd
Ste B
Fenton, MO 63026
Phone (636) 349-3005

341 N Creek Dr
Ste A
Festus, MO 63028
Phone (636) 931-5665

3533 Dunn Rd
#220222
Florissant, MO 63033
Phone (314) 838-2100

2698 Gravois Rd
High Ridge, MO 63049
Phone (636) 677-1166

4575 Gravois Rd
House Springs, MO 63051
Phone (636) 671-7272

2946 Highway K
O Fallon, MO 63368
Phone (636) 240-1516

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

12406 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 842-5858

3192 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313

5632A Telegraph Rd
Saint Louis, MO 63129
Phone (313) 334-7000

7342 Manchester Rd
Saint Louis, MO 63143
Phone (314) 645-1575

8031 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 222-2071

8031 West Florissant Ave
Ste C
Saint Louis, MO 63136
Phone (314) 222-2071

4045 N Saint Peters Pkwy
Ste 202
Saint Peters, MO 63304
Phone (636) 928-6929

4045 N Saint Peters Pkwy
Ste 210
Saint Peters, MO 63304
Phone (636) 928-6929

6157 Mid Rivers Mall Dr
Saint Peters, MO 63304
Phone (314) 569-2020

3071 Phoenix Center Dr
Washington, MO 63090
Phone (636) 777-2345

8658 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 962-3830

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1790026540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20158",
            "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": "5632 TELEGRAPH RD # A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294243",
            "telephone_number": "636-200-4393",
            "fax_number": "314-334-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "636-200-4393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarkson Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.