MEDICARE: CLARKSON OPTOMETRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1174807622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARKSON OPTOMETRY INC

Provider Business Mailing Address
First Line	:	PO BOX 207158
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-7158
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:	636-527-0766

Provider Business Practice Location Address
First Line	:	537 W KARSCH BLVD
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3312
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:	573-747-4533

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES WACHTER
Credential	:
Telephone Number	:	636-200-4393

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	07/05/2019

Similar Medicare Providers

1255125209 — CLAIRE CORTNER
Practice Location Address:

537 W KARSCH BLVD
FARMINGTON, MO
63640-3312

Practice Phone: 573-747-4133
Practice Fax:

1295966927 — DR. MEGAN LYNN SMITH O.D.
Practice Location Address:

537 W KARSCH BLVD
FARMINGTON, MO
63640-3312

Practice Phone: 573-747-4133
Practice Fax: 573-747-4533

1134432149 — DR. ELIOT G MASEK O.D.
Practice Location Address:

537 W KARSCH BLVD
FARMINGTON, MO
63640-3312

Practice Phone: 573-747-4133
Practice Fax: 573-747-4533

1104446103 — DR. TRACEY ALBERTHA LOCKHART WRIGHT MD
Practice Location Address:

33333 W 12 MILE RD
FARMINGTON HILLS, MI
48334-3312

Practice Phone: 248-536-2127
Practice Fax: 248-893-6952

1871233601 — SHELBY KATHERINE WILLEY
Practice Location Address:

33333 W 12 MILE RD
FARMINGTON HILLS, MI
48334-3312

Practice Phone: 248-536-2127
Practice Fax:

1760255848 — MORGAN M EWALD PA-S
Practice Location Address:

33333 W 12 MILE RD
FARMINGTON HILLS, MI
48334-3312

Practice Phone: 248-880-7757
Practice Fax:

Directions to “CLARKSON OPTOMETRY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.