Organization
CLARKSON OPTOMETRY MIDWEST INC
Active
Other names
Clarkson Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
1748 BROADWAY ST, PADUCAH, KY 42001-2706
(270) 443-9955
(270) 442-1469
Mailing address
PO BOX 207170, DALLAS, TX 75320-7170
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2029DT
KY
152W00000X
Optometrist
Primary
937DT
KY
152W00000X
Optometrist
941DT
KY
Other
Enumeration date
06/27/2007
Last updated
07/02/2021
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