CLARKSON OPTOMETRY ILLINOIS PC

BELLEVILLE, IL
NPI1124214051
Entity TypeOrganization
Authorized ContactJAMES J WACHTER
Cmo
636-200-4393
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  0046.009944)
Enumeration Date2007-09-25
Last Update Date2019-06-21
Business Address
CLARKSON OPTOMETRY ILLINOIS PC
2525 GREEN MOUNT CROSSING DR. SUITE 290
BELLEVILLE, IL 62221-6735
Phone number: 636-200-4393
Mailing Address
CLARKSON OPTOMETRY ILLINOIS PC
PO BOX 207163
DALLAS, TX 75320-7154
Phone number: 636-200-4393
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