Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Rinkov Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
3600 OLENTANGY RIVER RD STE B, COLUMBUS, OH 43214-3437
(636) 200-4393
(614) 545-0749
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
3934
OH
152WX0102X
Occupational Vision Optometrist
002917
OH
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
5838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704870001
MEDICARE PTAN
OH
Enumeration date
06/29/2006
Last updated
06/07/2019
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