Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
20/20 EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
325 W WALNUT ST, STE 400, LEBANON, KY 40033-1377
(636) 200-4393
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
1097DT
KY
Other
Enumeration date
11/02/2006
Last updated
10/03/2019
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