Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Eyecare Associates of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
1400 COMMONWEALTH DR, MAYFIELD, KY 42066-6845
(636) 200-4393
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
1388DT
KY
152W00000X
Optometrist
1768DT
KY
Other
Enumeration date
08/22/2007
Last updated
06/07/2019
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