Clarkson Optometry Inc
Organization Active NPI Optometrist · Saint Louis, MO
NPI 1821040593 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1821040593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CLARKSON OPTOMETRY INC
- Practice address
- 2185 S Mason Rd
Saint Louis, MO 63131-1640 - Phone
- (636) 200-4393
- Fax
- (314) 821-5322
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- James Wachter
- Title
- Cmo
- Phone
- (636) 200-4393
Other NPIs with the same Medicare PAC ID 16
Member of 1
Practitioners 82
-
David Anderson, OD
-
Todd E Bellamy, O.D.
-
Parker Steven Berg, O.D.
-
Amanda Jessie Bissell, O.D.
-
Stephen D. Bollinger, O.D.
-
Aaron Michael Brewer, O.D.
-
Andrew David Brown, O.D.
-
Stephanie Lynn Cullinan, O.D.
-
Jeanine Dalton, O.D.
-
Neil Francis David, O.D.
-
Sara Anne Day, O.D.
-
Tuyet K Doan, O.D.
-
Ernest C Doiron, O.D.
-
Tina Marie Dunkin, O.D.
-
Lisa Durham, O.D.
-
Gretchen Ann Gerhardt, O.D.
-
Janet Graf, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150310002439 | MO | DME Supplier - Physician - Optometrist | 0840411799 | Practice locations: Saint Louis, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2185 S Mason Rd
Saint Louis, MO 63131-1640
Mailing address
PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7238350010 | Other | MO | DMERC |
Other names
- Clarkson Eyecare
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.