CLARKSON OPTOMETRY ILLINOIS PC (NPI# 1124214051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124214051 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Practice Address |
2525 Green Mount Crossing Dr. Suite 290 Belleville IL 62221-6735 |
| Mailing Address |
Po Box 207163 Dallas TX 75320-7154 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 6182337290 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | DR. JAMES J WACHTER (CMO) |
| 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 | 0046.009944 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578806378 | Clarkson Optometry Illinois PC | Optometrist | 208 West Main, Staunton, IL 62088-1470 | 2013-03-29 |
| 1952595878 | Clarkson Optometry Illinois PC | Optometrist | 210 S Main, Red Bud, IL 62278 | 2007-09-04 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1982898375 | Clarkson Optometry Illinois PC | Optometrist | 3000 Broadway St, Mount Vernon, IL 62864-2340 | 2007-08-29 |
| 1548664634 | Clarkson Optometry Illinois PC | Optometrist | 2645 N Illinois St, Swansea, IL 62226-2302 | 2014-10-17 |
| 1669668836 | Clarkson Optometry Illinois PC | Optometrist | 6663 Edwardsville Crossing Dr, Edwardsville, IL 62025-2704 | 2007-09-20 |
| 1508083502 | Clarkson Optometry Illinois PC | Optometrist | 1025 Columbia Ctr, Columbia, IL 62236-2546 | 2007-04-19 |
| 1457303125 | Clarkson Optometry Illinois PC | Optometrist | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 | 2006-05-17 |
| Street Address |
2525 GREEN MOUNT CROSSING DR. SUITE 290 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-6735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| 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 |
|---|---|---|---|---|
| 1912410390 | Advanced Vision Care LLC | Optometrist | 3540 N Belt W Ste C, Belleville, IL 62226-5975 | 2017-11-08 |
| 1235547209 | Kyle Bensinger | Optometrist | 5 Franklin Ave 209, Belleville, NJ 07109-3504 | 2014-07-23 |
| 1013243666 | Family Eye Care of Belleville Inc | Optometrist | 1704 M St, Belleville, KS 66935 | 2009-11-02 |
| 1649405218 | Brett Alan Sobieralski | Optometrist | 2525 Green Mount Commons Dr, Ste 290, Belleville, IL 62221-6724 | 2009-05-26 |
| 1568617967 | David Cue Wiegman | Optometrist | 5650 Belleville Crossing St, Belleville, IL 62226 | 2008-11-26 |
| 1669592440 | Craig A Sieron | Optometrist | 5308 West Main St., Belleville, IL 62226 | 2007-03-29 |
| 1235254285 | Michael Sandles | Optometrist | 10788 Belleville Rd, Belleville, MI 48111-1308 | 2007-03-20 |
| 1053462275 | Thomas Francis Dorrity Jr. | Optometrist | 500 Washington Ave, Belleville, NJ 07109-3392 | 2007-01-15 |
| 1932207073 | Eyecare of Illinois Ltd | Optometrist | 5308 West Main St, Belleville, IL 62226 | 2006-09-20 |
| 1609974120 | Robert E Kennedy | Optometrist | 11824 Belleville Rd, Belleville, MI 48111 | 2006-09-20 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on CLARKSON OPTOMETRY ILLINOIS PC.
| 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.