CLARKSON OPTOMETRY ILLINOIS, P.C.


Address: 2421 Corporate Ctr, Ste 102, Granite City, IL 62040-4195
Phone: 6362004393

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
Clarkson Eyecare Doing Business As Name - Organization
Quantum Vision Centers Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2421 CORPORATE CTR
STE 102
City GRANITE CITY
State IL
Zip Code 62040-4195

Providers in the same zip code

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 Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City GRANITE CITY
Zip Code 62040

Improve Information

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Dataset Information

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.

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