Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Cincinnati EyeCare Team
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
8629 N PAVILLION, WEST CHESTER, OH 45069-4885
(636) 200-4393
(513) 942-5321
Mailing address
PO BOX 207170, DALLAS, TX 75320-7156
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4887 T1752
OH
Other
Enumeration date
03/28/2017
Last updated
07/08/2019
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