Clarkson Optometry Illinois PC
NPI 1124214051 · Optometrist · Belleville, IL
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarkson Optometry Illinois PC is a Optometrist organization in Belleville, IL (NPI 1124214051).
Provider details
- NPI number
- 1124214051
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- James Wachter, Cmo(636) 200-4393
- License
- 0046.009944 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2019-06-21
Frequently asked questions
- What is Clarkson Optometry Illinois PC's NPI number?
- Clarkson Optometry Illinois PC's National Provider Identifier (NPI) is 1124214051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clarkson Optometry Illinois PC?
- Clarkson Optometry Illinois PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Clarkson Optometry Illinois PC located?
- Clarkson Optometry Illinois PC's practice location on file with NPPES is 2525 Green Mount Crossing Dr., Belleville, IL 62221-6735.
- What is Clarkson Optometry Illinois PC's phone number?
- The practice phone number listed in the NPPES registry for Clarkson Optometry Illinois PC is (636) 200-4393.
- Does Clarkson Optometry Illinois PC accept Medicare?
- Clarkson Optometry Illinois PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clarkson Optometry Illinois PC?
- The authorized official listed on Clarkson Optometry Illinois PC's NPPES record is James Wachter, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clarkson Optometry Illinois PC's NPI active?
- Yes — Clarkson Optometry Illinois PC's NPI (1124214051) is active in the NPPES registry as of the last update on 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.