Wachter, James

Wachter, James is an individual health care provider with primary practice located at 194 Clarkson Rd , Ellisville MO 63011. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wachter, James can be contacted via phone (636) 227-2020.

Contact Information

Primary practice address
194 Clarkson Rd Ellisville MO 63011
Fax: (636) 227-9968
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T03019 Missouri

Profile Details

NPI number 1689670697
LBN Legal business name Wachter, James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689670697 NPPES
Missouri Other 410034998 RAILROAD MEDICARE
Missouri MEDICAID 313710733 RAILROAD MEDICARE

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