Clarkson Optometry Illinois Pc in Dallas - Optometrist

Clarkson Optometry Illinois Pc - NPI 1649464553

Clarkson Optometry Illinois Pc is a Optometrist in Dallas, Texas. Clarkson Optometry Illinois Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Clarkson Optometry Illinois Pc is 1649464553. The last update date is 2019-06-21.

Clarkson Optometry Illinois Pc's current location address is Po Box 207163, Dallas, Texas. You can contact this provider via phone number 6362004393 and fax number 6365270766. The mailing address for Clarkson Optometry Illinois Pc is Po Box 207163, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clarkson Optometry Illinois Pc
Address Po Box 207163, Dallas, Texas
Phone Number 6362004393
Fax Number 6365270766
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CMO
Authorized Official Name Wachter J James
Credentials OD
Telephone Number 6362004393

NPI Number Detail

NPI Number 1649464553
Provider Enumeration Date 2007-09-04
Last Updated Date 2019-06-21

Provider Mailing Address Detail

Address Po Box 207163
City Dallas
State Texas (TX)
Post Code 753207154
Phone Number 6362004393
Fax Number 6365270766

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 36104178
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36104178 IL --

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FAQs about Clarkson Optometry Illinois Pc

What is the unique identifier code issued to Clarkson Optometry Illinois Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Clarkson Optometry Illinois Pc has been assigned the NPI (National Provider Identifier) 1649464553. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Clarkson Optometry Illinois Pc is physically located?

The Clarkson Optometry Illinois Pc is physically situated at the following address: Po Box 207163, Dallas, TX, 753207154.

What is the Clarkson Optometry Illinois Pc's area of specialization and corresponding taxonomy classification?

The Clarkson Optometry Illinois Pc's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1649464553 assigned to Clarkson Optometry Illinois Pc?

The Clarkson Optometry Illinois Pc was issued its 1649464553 on 2007-09-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Clarkson Optometry Illinois Pc most recently updated?

The details pertaining to the Clarkson Optometry Illinois Pc, including its address, specialty, and other relevant information, were last refreshed on 2019-06-21.

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