OrganizationActive
Clarkson Optometry Illinois PC
NPI 1063606978 · Optometrist · Breese, IL
Provider details
- NPI number
- 1063606978
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- James Wachter, Cmo(636) 200-4393
- License
- 036104178 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Clintonian Plaza
Breese, IL 62230
Phone: (636) 200-4393
Fax: (618) 526-7455
Street-level locationGet directions
Mailing address
Po Box 207163
Dallas, TX 75320-7154
Other names (DBA / former)
- Doing business as
- Clarkson Eyecare
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2019-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.