Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Eyecare Associates of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER OD (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
60 LAKEVIEW DR, SUITE 2, PADUCAH, KY 42001-5633
(270) 554-2000
(270) 554-2989
Mailing address
PO BOX 207170, DALLAS, TX 75320-7156
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1056DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204120
ANTHEM
—
01
—
410043379
RAILROAD RETIREMENT MEDICARE
KY
Enumeration date
07/09/2009
Last updated
07/26/2019
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