Clarkson Optometry Illinois PC

NPI #1063606978 in Breese, Illinois

Provider Information

NPI Number: 1063606978
Entity Type: Organization
Organization Name: Clarkson Optometry Illinois PC
Primary Specialty: Optometrist
Enumeration Date: Sep 4, 2007
Last Updated: Jun 21, 2019

Practice Location

Address: 103 CLINTONIAN PLAZA
City: Breese
State: Illinois
ZIP Code: 62230
Phone: (636) 200-4393

Authorized Official

Name: DR. JAMES J WACHTER, OD
Title: CMO
Phone: (636) 200-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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