| NPI | 1083668974 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-22 |
| Last Updated | 2019-06-06 |
| Authorized Official | James Wachter Provider Enrollment Manager Phone: 6362004393 |
| Mailing Address | 15933 Clayton Rd, Suite 201 Ballwin, MO 63011-2172 United States Phone: (636) 200-4393 | Fax: (636) 527-0766 📍 View Map |
| Primary Practice Address | 14842 Manchester Rd Ballwin, MO 63011-4620 United States Phone: (636) 200-4393 | Fax: (636) 557-4020 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | — | — |
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About NPI 1083668974
Clarkson Optometry Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083668974. The primary specialty listed is Optometrist. The organization is located in Ballwin, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083668974?
NPI 1083668974 belongs to Clarkson Optometry Inc, a Optometrist in Ballwin, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083668974 active?
The current status of NPI 1083668974 in the NPPES registry is Active. The record was last updated on 2019-06-06.
What specialty is NPI 1083668974?
NPI 1083668974 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083668974?
You can verify NPI 1083668974 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083668974?
The primary practice address on file for NPI 1083668974 is 14842 Manchester Rd, Ballwin, MO 63011-4620. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083668974 issued?
NPI 1083668974 was first issued (enumerated) on 2006-05-22. The NPPES record was last updated on 2019-06-06.
Practice Location Map
Clarkson Optometry Inc is located at 14842 Manchester Rd, Ballwin, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Clarkson Optometry Inc. All records sourced from the CMS NPPES registry.