Clarkson Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CLARKSON OPTOMETRY INC

Practice address

100 Brickton Rd.
Suite 201
Columbia, MO 65201

Phone

(636) 200-4393

Fax

(573) 303-3938

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

James Wachter

Title

Cmo

Phone

(636) 200-4393

Specialties & licenses 1

Addresses

Other names 1

• Clarkson Eyecare Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarkson Optometry Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1992071765",
    "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": "100 BRICKTON RD.",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "636-200-4393",
            "fax_number": "573-303-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "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"
        }
    ]
}

• Megan Elizabeth Clark, M.D.
• Adam Clarke
• Christine Clarke
• Richard E. Clarke, HIS
• Clarkson Optometry Inc
• Kevin Wallace Clary, MD
• Megan Clary, M.D.
• Danessa Tykieta Clay
• Ryan Joseph Claypool, M.ED., BCBA
• Dustin Michael Clayton, DPT

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• 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.