CLARKSON OPTOMETRY INC (NPI# 1922353259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922353259 |
| Entity Type | Organization |
| Organization Name | CLARKSON OPTOMETRY INC |
| Other Organization Name | CLARKSON EYECARE |
| Practice Address |
9082 Overland Plz Overland MO 63114-6122 |
| Mailing Address |
Po Box 207158 Dallas TX 75320-7158 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 3142271133 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2012-07-24 |
| 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 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1326090267 | 05 |
| 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 |
| 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 |
| 1952585028 | Clarkson Optometry Inc | Optometrist | 3071 Phoenix Center Drive, Washington, MO 63090 | 2007-12-24 |
| Street Address |
9082 OVERLAND PLZ |
| City | OVERLAND |
| State | MO |
| Zip Code | 63114-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640517 | Dustin William Anderson | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2019-07-12 |
| 1124688189 | Joann Vu Adams | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2019-06-20 |
| 1386053254 | Fyizza Abbas | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| 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 |
|---|---|---|---|---|
| 1821640517 | Dustin William Anderson | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2019-07-12 |
| 1124688189 | Joann Vu Adams | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2019-06-20 |
| 1063862969 | Phillip Mark Lueckenhoff | Optometrist | 2533 Woodson Rd, Overland, MO 63114-5436 | 2016-06-21 |
| 1386053254 | Fyizza Abbas | Optometrist | 9082 Overland Plz, Overland, MO 63114-6122 | 2014-08-05 |
| 1659592160 | Daniel D Seibert Od PC | Optometrist | 2040 Woodson Rd, Suite 100, Overland, MO 63114-5644 | 2007-05-01 |
| 1962481390 | Daniel D Seibert | Optometrist | 2040 Woodson Rd, Suite 100, Overland, MO 63114-3629 | 2006-01-13 |
| 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 | ||||
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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.