CLARKSON OPTOMETRY INC (NPI# 1821406216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821406216 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY INC |
| Other Organization Name | CLARKSON EYECARE |
| Practice Address |
12681 Dorsett Rd Maryland Heights MO 63043-2100 |
| Mailing Address |
Po Box 207158 Dallas TX 75320-7158 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 3147863801 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6369382650 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | KRIS CALDWELL (VICE PRESIDENT) |
| 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 |
12681 DORSETT RD |
| City | MARYLAND HEIGHTS |
| State | MO |
| Zip Code | 63043-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356419006 | Judy Yuk Yiu Chun | Optometrist | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 | 2006-12-01 |
| 1679980858 | Jessica Olendorff | Optometrist | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 | 2014-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1770004707 | Taylor Anne Jordan | Specialist/Technologist | 1885 Mckelvey Hill Dr., Apt 303, Maryland Heights, MO 63043 | 2017-06-29 |
| 1528507167 | Erica K Mazurkiewicz | Counselor | 12061 Dorsett, Maryland Heights, MO 63043 | 2017-02-15 |
| 1851756217 | Crpt, LLC | Physical Therapist | 12674 Dorsett Road, Maryland Heights, MO 63043 | 2015-12-29 |
| 1871930032 | Rachel Michele Gill | Chiropractor | 11d Worthington Access Dr., St. Louis, MO 63043 | 2013-05-29 |
| 1487913299 | John Martin Dds | Dentist | 12131 Dorsett, St 211, Maryland Heights, MO 63043 | 2012-05-14 |
| 1518287648 | Pharmacy Services Inc. | Pharmacist | 212 Millwell Dr., Suite A, St. Louis, MO 63043 | 2010-06-11 |
| 1447578000 | Rxoutreach | Pharmacy | 3171-3183 Riverport Tech Center Dr, Maryland Heights, MO 63043 | 2010-05-06 |
| 1811129257 | Gene Paul Barbour | Internal Medicine | 1 Reading, Marilyn Heights, MO 63043 | 2009-08-19 |
| Find all providers in zip 63043 | ||||
| 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 |
|---|---|---|---|---|
| 1356419006 | Judy Yuk Yiu Chun | Optometrist | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 | 2006-12-01 |
| 1437264405 | Lee J Browning | Optometrist | 2311 Mckelvey Rd, Maryland Heights, MO 63043-1531 | 2006-08-20 |
| 1346268471 | Lisa Marie Schembri | Optometrist | 12103 Autumn Lakes Dr, Maryland Heights, MO 63043-4901 | 2006-07-17 |
| 1053346536 | Fox Eyecare Professionals, LLC | Optometrist | 2037 Dorsett Vlg, Maryland Heights, MO 63043-2207 | 2006-07-12 |
| 1467456046 | Mark Veenhuis | Optometrist | 2564 Pheasant Run Dr, Maryland Heights, MO 63043-1480 | 2005-06-10 |
| 1174183529 | Amy Brooke Mackey Carenza | Optometrist | 2311 Mckelvey Rd, Maryland Heights, MO 63043-1531 | 2019-06-18 |
| 1679980858 | Jessica Olendorff | Optometrist | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 | 2014-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | MARYLAND HEIGHTS |
| Zip Code | 63043 |
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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.