Active NPI
Clarkson Optometry Inc
Doing business as Clarkson Eyecare
- Optometrist
- Overland, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CLARKSON OPTOMETRY INC
- Doing business as
- Clarkson Eyecare
- Practice address
- 9082 Overland PLZ
Overland, MO 63114-6122 - Phone
- (636) 200-4393
- Fax
- (314) 227-1133
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 5, 2019
- 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
- James Wachter
- Title
- Cpo/Vice Chairman
- Phone
- (636) 200-4393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MO | Primary |
Addresses
Primary practice location
9082 Overland PLZ
Overland, MO 63114-6122
Mailing address
PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326090267 | Medicaid | MO |
Other names 1
- Clarkson Eyecare
National Provider Directory
National Provider Directory- Tax ID family
- Clarkson Optometry Inc
Other organizations with this tax ID 43
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Ellisville, MO
- NPI 1689670697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562284800000",
"number": "1922353259",
"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": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9082 OVERLAND PLZ",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631146122",
"telephone_number": "636-200-4393",
"fax_number": "314-227-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKSON OPTOMETRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-24",
"last_updated": "2019-07-05",
"status": "A",
"authorized_official_last_name": "WACHTER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CPO/VICE CHAIRMAN",
"authorized_official_telephone_number": "636-200-4393"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326090267",
"state": "MO"
}
],
"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 Overland, 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.