OrganizationActive
Clarkson Optometry Illinois PC
NPI 1649464553 · Optometrist · Waterloo, IL
Clarkson Optometry Illinois PC is a Optometrist organization in Waterloo, IL (NPI 1649464553).
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
Profile Score
Detailed profile(89/100 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
204 Bradford Lane
Waterloo, IL 62298
Phone: (636) 200-4393
Fax: (618) 939-6037
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
Frequently asked questions
- What is Clarkson Optometry Illinois PC's NPI number?
- Clarkson Optometry Illinois PC's National Provider Identifier (NPI) is 1649464553, 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 204 Bradford Lane, Waterloo, IL 62298.
- 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.
- 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 (1649464553) 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.