Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Clarkson Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
5283 CORNERSTONE NORTH BLVD, CENTERVILLE, OH 45440-2270
(937) 848-6601
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
1457DT
OH
Other
Enumeration date
10/13/2014
Last updated
09/20/2022
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