CLARKSON OPTOMETRY INC (NPI# 1083668974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083668974 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY INC |
| Other Organization Name | CLARKSON EYECARE |
| Practice Address |
14842 Manchester Rd Ballwin MO 63011-4620 |
| Mailing Address |
15933 Clayton Rd Suite 201 Ballwin MO 63011-2172 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 6365574020 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | JAMES WACHTER (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Telephone | 6362004393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Clarkson Eyecare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861836777 | Clarkson Optometry Inc | Optometrist | 3192 S Grand Blvd, Saint Louis, MO 63118-1025 | 2013-04-22 |
| 1790026540 | Clarkson Optometry Inc | Optometrist | 5632 Telegraph Rd # A, Saint Louis, MO 63129-4243 | 2013-03-04 |
| 1922353259 | Clarkson Optometry Inc | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2012-07-24 |
| 1992071765 | Clarkson Optometry Inc | Optometrist | 100 Brickton Rd., Suite 201, Columbia, MO 65201 | 2012-03-27 |
| 1922379361 | Clarkson Optometry Inc | Optometrist | 8031 W Florissant Ave, Saint Louis, MO 63136-1400 | 2012-01-17 |
| 1235412990 | Clarkson Optometry Inc | Optometrist | 11941 Manchester Rd., Des Peres, MO 63131-4518 | 2011-09-20 |
| 1659682235 | Clarkson Optometry Inc | Optometrist | 6313 Ronald Reagan Blvd, Lake Saint Louis, MO 63367-2659 | 2010-06-29 |
| 1376873240 | Clarkson Optometry Inc | Optometrist | 6415 Chippewa St, Saint Louis, MO 63109-2104 | 2009-12-28 |
| 1073755880 | Clarkson Optometry Inc | Optometrist | 2121 Zumbehl Rd, Saint Charles, MO 63303-2724 | 2009-03-26 |
| 1730321548 | Clarkson Optometry Inc | Optometrist | 1028 Town and Country Crossing Dr, Chesterfield, MO 63017-0610 | 2009-03-26 |
| Street Address |
14842 MANCHESTER RD |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-4620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801952734 | Joel T Hubbard | Optometrist | 14842 Manchester Rd, Ballwin, MO 63011-4620 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548635758 | Clarkson Optometry Illinois, P.C. | Optometrist | 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 | 2015-12-14 |
| 1023373396 | Melissa Kay Lorber | Optometrist | 821 Shady Castle Ct, Ballwin, MO 63021-4461 | 2012-07-11 |
| 1689834467 | Jay N Cohen | Optometrist | 84 Meadowbrook Country Club Est, Ballwin, MO 63011-1698 | 2008-06-14 |
| 1871643718 | Kayce A Strohmeyer | Optometrist | 15933 Clayton Rd, Suite 201, Ballwin, MO 63011-2172 | 2007-01-11 |
| 1811044506 | Cynthia Jean Lucas | Optometrist | 118 Ramsey Ln, Ballwin, MO 63021-4910 | 2007-01-04 |
| 1710045810 | Nu-crown, LLC | Optometrist | 427 Lafayette Ctr, Ballwin, MO 63011-3943 | 2006-12-04 |
| 1124031273 | Robin Leslie Meyer | Optometrist | 13901 Manchester Rd, Ballwin, MO 63011-4505 | 2006-08-13 |
| 1497744593 | Manchester Eye Care, LLC | Optometrist | 14552 Manchester Rd, Ballwin, MO 63011-3959 | 2005-10-20 |
| 1225499098 | Clarkson Optometry Midwest Inc. | Optometrist | 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 | 2016-03-08 |
| 1316272651 | Amy B Brunig | Optometrist | 201 Highlands Boulevard Dr, Vision Center, Ballwin, MO 63011-4383 | 2009-10-05 |
| Find all providers in BALLWIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.