Clarkson Optometry Inc
NPI 1114970779ActiveOrganization· Optometrist· Fenton, MO
Optometrist in Fenton, Missouri, registered in NPPES in May 2006. The authorized official on file is James Wachter, Cmo. Enrolled in Medicare as dme supplier - physician - optometrist.
Overview
| NPI | 1114970779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Jun 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 DME Supplier - Physician - Optometrist (MO) |
|---|
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