CLARKSON OPTOMETRY ILLINOIS, P.C. (NPI# 1497807267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497807267 |
Entity Type | Organization |
Organization Name | CLARKSON OPTOMETRY ILLINOIS, P.C. |
Other Organization Name | CLARKSON EYECARE |
Practice Address |
2421 Corporate Ctr Ste 102 Granite City IL 62040-4195 |
Mailing Address |
Po Box 207163 Dallas TX 75320-7154 |
Practice Telephone | 6362004393 |
Practice Fax Number | 6189312470 |
Mailing Telephone | 6362004393 |
Mailing Fax Number | 6365270766 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2019-06-04 |
Authorized Official Name | JAMES WACHTER (CMO) |
Authorized Official Telephone | 6362004393 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Clarkson Eyecare | Doing Business As Name - Organization |
Quantum Vision Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548635758 | Clarkson Optometry Illinois, P.C. | Optometrist | 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 | 2015-12-14 |
1831425768 | Clarkson Optometry Illinois, P.C. | Optometrist | 18 Ginger Crk, Glen Carbon, IL 62034-3400 | 2009-10-28 |
1851679625 | Clarkson Optometry Illinois, P.C. | Durable Medical Equipment & Medical Supplies | 1310 Dadrian Professional Park, Godfrey, IL 62035-1685 | 2011-07-28 |
1730373648 | Clarkson Optometry Illinois, P.C. | Optometrist | 408 W 2nd St, Centralia, IL 62801-3402 | 2007-09-04 |
Street Address |
2421 CORPORATE CTR STE 102 |
City | GRANITE CITY |
State | IL |
Zip Code | 62040-4195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
Find all providers in zip 62040 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609351923 | Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 2421 Corporate Ctr Ste 105, Granite City, IL 62040-4195 | 2018-10-02 |
1134576820 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 3319 Nameoki Road, Granite City, IL 62040-3708 | 2016-05-23 |
1356456487 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 3451 Nameoki Rd, Granite City, IL 62040-3709 | 2006-08-20 |
1447268396 | Crown Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2113 Johnson Rd, Granite City, IL 62040-3959 | 2006-08-04 |
1235146317 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2001 Madison Ave, Granite City, IL 62040-4618 | 2006-08-02 |
1215942511 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3732 Nameoki Rd, Granite City, IL 62040-3714 | 2006-07-29 |
1407873789 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 379 W Pontoon Rd, Granite City, IL 62040-6848 | 2006-07-16 |
1538141643 | Advantage Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 3701 Nameoki Rd, Suite A, Granite City, IL 62040-3711 | 2005-11-15 |
1093707903 | Acjk Inc | Durable Medical Equipment & Medical Supplies | 2770 Madison Ave, Granite City, IL 62040-3607 | 2005-08-17 |
1023292000 | Granite City Orthopedic Physicians Company LLC | Durable Medical Equipment & Medical Supplies | 2044 Madison Ave, Granite City, IL 62040-4641 | 2007-12-26 |
Find all providers in GRANITE CITY |
City | GRANITE CITY |
Zip Code | 62040 |
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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.