Organization
CLARKSON OPTOMETRY ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J WACHTER OD (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
1025 COLUMBIA CTR, COLUMBIA, IL 62236-2546
(636) 200-4393
(618) 281-3927
Mailing address
PO BOX 207163, DALLAS, TX 75320-7154
(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
—
0360070027
DMERC
IL
Enumeration date
04/19/2007
Last updated
06/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us