Clarkson Eyecare

LBN: Clarkson Optometry Illinois Pc
Clarkson Eyecare is an health care organization with primary practice located at 204 Bradford Lane , Waterloo IL 62298. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Clarkson Optometry Illinois Pc can be contacted via phone (636) 200-4393, or through Wachter, James J via phone (636) 200-4393.

Contact Information

Primary practice address
204 Bradford Lane Waterloo IL 62298
Phone: (636) 200-4393
Fax: (618) 939-6037
Website:
Map and Directions
Authorized official contact:
Name: Wachter, James J Doctor of Optometry (OD)
Phone: (636) 200-4393

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 036104178 Illinois

Profile Details

NPI number 1649464553
LBN Legal business name Clarkson Optometry Illinois Pc
DBA Doing business as Clarkson Eyecare
Authorized official Wachter, James J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Jun 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649464553 NPPES
Illinois MEDICAID 036104178

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