CLARKSON OPTOMETRY INC (NPI# 1790927507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790927507 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY INC |
| Other Organization Name | CLARKSON EYECARE |
| Practice Address |
6157 Mid Rivers Mall Dr Saint Peters MO 63304-1105 |
| Mailing Address |
Po Box 207158 Dallas TX 75320-7158 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 6369263684 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | JAMES WACHTER (CPO/VICE CHAIRMAN) |
| 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 |
6157 MID RIVERS MALL DR |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63304-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913094 | Raymond Fada Jr. | Optometrist | 6157 Mid Rivers Mall Dr, 202, Saint Peters, MO 63304-1105 | 2005-06-23 |
| 1609491422 | Aric Joseph Waltz | Optometrist | 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304-1105 | 2020-06-09 |
| 1548467798 | Blaire Sharee O'brien | Optometrist | 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304-1105 | 2007-06-29 |
| 1013913185 | Pamela Coslick | Optometrist | 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304-1105 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| 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 |
|---|---|---|---|---|
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1366883472 | Seth Martin Bachelier | Optometrist | 1325 Queens Ct Ste G, Saint Peters, MO 63376-7375 | 2013-07-17 |
| 1730217571 | Lori J Elliott | Optometrist | 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376-6416 | 2007-03-01 |
| 1972640977 | James Leland Jacob | Optometrist | 6664 Mexico Rd, Saint Peters, MO 63376-4131 | 2007-01-31 |
| 1912065137 | Nu-crown, LLC | Optometrist | 569 Mid Rivers Mall Dr, Saint Peters, MO 63376-2152 | 2006-12-04 |
| 1932273760 | Stephen Matthew Garnett | Optometrist | 500 Jungermann Rd, Suite 202, Saint Peters, MO 63376-2774 | 2006-11-20 |
| 1619050002 | Edward Charles Appelman | Optometrist | 100 Piper Hill Dr, Suite D, Saint Peters, MO 63376-1616 | 2006-10-23 |
| 1942392410 | Keeton Vision Care, Inc. | Optometrist | 5901 Mexico Rd, Saint Peters, MO 63376-1613 | 2006-09-29 |
| 1811089097 | Curators of The University of Missouri | Optometrist | 3004 S. St. Peters Pkwy, #1, Saint Peters, MO 63303-6354 | 2006-09-28 |
| 1669580882 | John C Lyman | Optometrist | 2330 Mid Rivers Mall, Saint Peters, MO 63376-4377 | 2006-08-28 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63304 |
Please comment or provide details below to improve the information on CLARKSON OPTOMETRY INC.
| 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.