NPI 1326474198

Clarkson Optometry Illinois PC

Organisation Optometrist Alton, IL

Practice location

Address: 1819 Homer Adams Parkway Suite B, Alton, IL 62002
Phone: (636) 200-4393
Fax: (636) 938-2650
Mailing address: PO Box 207163, Dallas, TX 75320-1205

Authorised official

Name: James Wachter
Title: Cmo
Phone: (636) 200-4393

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

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Registry record

NPI: 1326474198
Entity type: Organization
NPI issued: 24 Sep 2013
Record last updated: 26 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.