Clarkson Optometry Illinois PC

NPI #1457303125 in Shiloh, Illinois

Provider Information

NPI Number: 1457303125
Entity Type: Organization
Organization Name: Clarkson Optometry Illinois PC
Primary Specialty: Optometrist
Enumeration Date: May 17, 2006
Last Updated: Jun 21, 2019

Practice Location

Address: 3248 GREEN MOUNT CROSSING DR
City: Shiloh
State: Illinois
ZIP Code: 62269-7284
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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