Organization
CLARKSON OPTOMETRY 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
2185 S MASON RD, SAINT LOUIS, MO 63131-1640
(636) 200-4393
(314) 821-5322
Mailing address
PO BOX 207158, DALLAS, TX 75320-7158
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7238350010
DMERC
MO
Enumeration date
05/17/2006
Last updated
07/05/2019
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