Clarkson Optometry Illinois PC

NPI #1508083502 in Columbia, Illinois

Provider Information

NPI Number: 1508083502
Entity Type: Organization
Organization Name: Clarkson Optometry Illinois PC
Primary Specialty: Optometrist
Enumeration Date: Apr 19, 2007
Last Updated: Jun 21, 2019

Practice Location

Address: 1025 COLUMBIA CTR
City: Columbia
State: Illinois
ZIP Code: 62236-2546
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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