Clarkson Optometry Illinois, P.c.
NPI #1497807267 in Granite City, Illinois
Provider Information
- NPI Number
- 1497807267
- Entity Type
- Organization
- Organization Name
- Clarkson Optometry Illinois, P.c.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jun 4, 2019
Practice Location
- Address
- 2421 CORPORATE CTR
- Address 2
- STE 102
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4195
- Phone
- (636) 200-4393
Authorized Official
- Name
- JAMES WACHTER
- Title
- CMO
- Phone
- (636) 200-4393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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