Organization
CLARKSON OPTOMETRY 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
699 GRAVOIS BLUFFS BLVD, FENTON, MO 63026-7715
(636) 200-4393
(636) 305-1021
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723835007
DMERC
MO
Enumeration date
05/17/2006
Last updated
06/06/2019
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