CLARKSON OPTOMETRY INC (NPI# 1073755880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073755880 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY INC |
| Other Organization Name | CLARKSON EYECARE |
| Practice Address |
2121 Zumbehl Rd Saint Charles MO 63303-2724 |
| Mailing Address |
Po Box 207158 Dallas TX 75320-7158 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 6369492914 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2019-07-05 |
| 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 | 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 |
| 1730321548 | Clarkson Optometry Inc | Optometrist | 1028 Town and Country Crossing Dr, Chesterfield, MO 63017-0610 | 2009-03-26 |
| 1952585028 | Clarkson Optometry Inc | Optometrist | 3071 Phoenix Center Drive, Washington, MO 63090 | 2007-12-24 |
| Street Address |
2121 ZUMBEHL RD |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730316282 | Ann Elizabeth Tang | Optometrist | 2121 Zumbehl Rd, Saint Charles, MO 63303-2724 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| 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 |
|---|---|---|---|---|
| 1417365123 | Tyler Doersam | Optometrist | 118 Lakeside Dr, Apt 434, Saint Charles, IL 60174-7905 | 2014-07-25 |
| 1689750291 | Jerome Lawrence Becker | Optometrist | 1384 S 5th St, Saint Charles, MO 63301-2444 | 2006-10-27 |
| 1750340741 | Charles M. Lutz | Optometrist | 1944 Zumbehl Rd, Saint Charles, MO 63303-2721 | 2006-03-20 |
| 1053380865 | David E. Duryea, O.d., P.C. | Optometrist | 123 S Saginaw St, Saint Charles, MI 48655-1403 | 2006-03-15 |
| 1295715852 | Michael E Weigle | Optometrist | 2127 Bluestone Dr, Suite 201, Saint Charles, MO 63303-6709 | 2006-01-19 |
| 1750387452 | Alan S Kwiatek | Optometrist | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 | 2005-06-27 |
| 1538768007 | Katlyn Rene Peterson | Optometrist | 3881 Mexico Rd, Saint Charles, MO 63303-3042 | 2020-10-25 |
| 1275150757 | Maggie Ellen Pohlmeier | Optometrist | 1301 N 2nd St, Saint Charles, MO 63301-2105 | 2020-06-30 |
| 1144702275 | Kerianne Phillips Sayre | Optometrist | 2897 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2018-09-05 |
| 1720572001 | Stephen Mccullough | Optometrist | 2035 Zumbehl Rd, Saint Charles, MO 63303-2723 | 2018-06-19 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
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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.