OrganizationActive
Clarkson Optometry Illinois PC
NPI 1649464553 · Optometrist · Waterloo, IL
Provider details
- NPI number
- 1649464553
- 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
Practice location
204 Bradford Lane
Waterloo, IL 62298
Phone: (636) 200-4393
Fax: (618) 939-6037
Approximate (ZIP-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.