Clarkson Optometry Illinois, P.c.

NPI #1730373648 in Centralia, Illinois

Provider Information

NPI Number: 1730373648
Entity Type: Organization
Organization Name: Clarkson Optometry Illinois, P.c.
Primary Specialty: Optometrist
Enumeration Date: Sep 4, 2007
Last Updated: Jun 6, 2019

Practice Location

Address: 408 W 2ND ST
City: Centralia
State: Illinois
ZIP Code: 62801-3402
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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