Clarkson Optometry Midwest INC

NPI #1366520702 in Lebanon, Kentucky

Provider Information

NPI Number: 1366520702
Entity Type: Organization
Organization Name: Clarkson Optometry Midwest INC
Primary Specialty: Optometrist
Enumeration Date: Nov 2, 2006
Last Updated: Oct 3, 2019

Practice Location

Address: 325 W WALNUT ST
Address 2: STE 400
City: Lebanon
State: Kentucky
ZIP Code: 40033-1377
Phone: (636) 200-4393

Authorized Official

Name: JAMES WACHTER
Title: CMO
Phone: (636) 200-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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