CLARKSON OPTOMETRY ILLINOIS, P.C. (NPI# 1548635758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548635758 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY ILLINOIS, P.C. |
| Other Organization Name | CLARKSON EYECARE |
| Practice Address |
15933 Clayton Rd Ste 201 Ballwin MO 63011-2172 |
| Mailing Address |
Po Box 207163 Dallas TX 75320-7154 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 6365270838 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270838 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | DR. JAMES WACHTER (CPO) |
| Authorized Official Telephone | 6362004393 |
| Authorized Official Credential | OD |
| 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 |
|---|---|---|---|---|
| 1831425768 | Clarkson Optometry Illinois, P.C. | Optometrist | 18 Ginger Crk, Glen Carbon, IL 62034-3400 | 2009-10-28 |
| 1497807267 | Clarkson Optometry Illinois, P.C. | Durable Medical Equipment & Medical Supplies | 2421 Corporate Ctr, Ste 102, Granite City, IL 62040-4195 | 2007-01-18 |
| 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 |
15933 CLAYTON RD STE 201 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225499098 | Clarkson Optometry Midwest Inc. | Optometrist | 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 | 2016-03-08 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1083668974 | Clarkson Optometry Inc | Optometrist | 14842 Manchester Rd, Ballwin, MO 63011-4620 | 2006-05-22 |
| 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.