Clarkson Optometry Midwest Inc
NPI 1073917597ActiveOrganization· Optometrist· Centerville, OH
Optometrist in Centerville, Ohio, registered in NPPES in October 2014. The authorized official on file is James Wachter, Cmo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1073917597 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2014 |
| Last updated in NPPES | Sep 20, 2022 |
| Certified by provider | Sep 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1457DT | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (OH) |
|---|
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