Clarkson Optometry, Inc
NPI 1497155345ActiveOrganization· Optometrist· Ellisville, MO
Optometrist in Ellisville, Missouri, registered in NPPES in August 2014. The authorized official on file is James J. Wachter, O.D., Chief Professional Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497155345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2014 |
| Last updated in NPPES | Dec 17, 2020 |
| Certified by provider | Dec 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | T03019 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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