Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Clarkson Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER OD (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
1164 LEXINGTON AVE, MANSFIELD, OH 44907-2254
(636) 200-4393
Mailing address
PO BOX 207170, DALLAS, TX 75320-7156
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4193T1387
OH
Other
Enumeration date
10/19/2007
Last updated
08/13/2019
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