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Organization

CLARKSON OPTOMETRY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES J WACHTER O.D. (CHIEF PROFESSIONAL OFFICER)
(636) 200-4393
Entity
Organization

Contact information

Practice address
217 CLARKSON RD, ELLISVILLE, MO 63011-2219
(636) 200-4393
(636) 200-4020
Mailing address
PO BOX 207158, DALLAS, TX 75320-7158
(636) 200-4393
(636) 527-0766

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03019
MO

Other

Enumeration date
08/28/2014
Last updated
12/17/2020
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