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
10639 DIXIE HWY, LOUISVILLE, KY 40272-4349
(636) 200-4393
(502) 736-4490
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77903987
—
KY
Enumeration date
06/01/2006
Last updated
06/07/2019
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