Organization
CLARKSON OPTOMETRY ILLINOIS PC
Active
Other names
Clarkson Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (OWNER)
(636) 200-4393
Entity
Organization
Contact information
Practice address
2645 N ILLINOIS ST, SWANSEA, IL 62226-2302
(636) 200-4393
(618) 767-5101
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
046010533
IL
Other
Enumeration date
10/17/2014
Last updated
06/20/2019
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