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CLARKSON EYECARE
NPI 1114475449
Optometrist in Benton, KY

Active since September 15, 2016
109 W 5TH ST, BENTON, KY 42025(636) 200-4393 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2019, Jun 19, 2019, Jun 7, 2019 and 2 more (5 updates tracked since 2016).

About Clarkson Eyecare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSON EYECARE (NPI 1114475449) is a healthcare organization registered as an optometrist in Benton, Kentucky and active in the NPI registry since September 2016. The organization lists James Wachter, Cpo, as its authorized official.

NPPES Registry Identity

NPI1114475449
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCLARKSON OPTOMETRY MIDWEST INC
Location Address109 W 5TH STBenton, KY 42025-1123
Mailing AddressPo Box 207170Dallas, TX 75320-7156 · (636) 200-4393 · Fax (636) 527-0838
Phone(636) 200-4393
Organization SubpartNo
Authorized OfficialJames WachterCpo · (636) 200-4393
Enumeration DateSeptember 15, 2016
Last NPPES UpdateJuly 8, 20195 updates tracked since enumeration
✔ NPI 1114475449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
109 W 5TH ST, Benton, KY 42025
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Other Names 1

Doing Business AsClarkson Eyecare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarkson Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20160526000461Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Clarkson Eyecare, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 53
Michael Case, O.D.
Optometry
NPI 1730521451
109 W 5TH ST
Benton, KY 42025
(270) 527-7421
✔ PECOS✔ Accepts MedicareSame address
Joe Ellis, O.D.
Optometry
NPI 1174597934
109 W 5TH ST
Benton, KY 42025
(270) 527-7421
✔ PECOS✔ Accepts MedicareSame address
Laurel Morris, O.D.
Optometry
NPI 1245204304
109 W 5TH ST
Benton, KY 42025
(270) 527-7421
✔ PECOS✔ Accepts MedicareSame address
Karissa Dyke
Optometry
NPI 1689461667
109 W 5TH ST
Benton, KY 42025
(270) 527-7421
✔ PECOS✔ Accepts Medicare0.2 mi
Ben Leonard
Optometry
NPI 1306191218
43 INDUSTRIAL PKWY
Calvert City, KY 42029
(270) 395-8331
✔ PECOS✔ Accepts Medicare11 mi
Kyle Garner, OD
Optometry
NPI 1205629128
817 N 12TH ST
Murray, KY 42071
(270) 753-2842
✔ PECOS✔ Accepts Medicare17 mi
Landon Brewer, O.D.
Optometry
NPI 1972945715
1400 COMMONWEALTH DR
Mayfield, KY 42066
(270) 247-2417
✔ PECOS✔ Accepts Medicare18 mi
James Jaco, O.D.
Optometry
NPI 1932173069
106 N 6TH ST
Murray, KY 42071
(270) 753-2842
✔ PECOS✔ Accepts Medicare18 mi
Mallory Harris
Optometry
NPI 1295225357
817 N 12TH ST
Murray, KY 42071
(270) 873-8200
✔ PECOS✔ Accepts Medicare19 mi
Donise Sheridan, O.D.
Optometry
NPI 1457325565
1400 COMMONWEALTH DR.
Mayfield, KY 42066
(270) 247-2417
✔ PECOS✔ Accepts Medicare19 mi
Mark Owens, O.D.
Optometry
NPI 1831164599
1748 BROADWAY ST
Paducah, KY 42001
(270) 443-9955
✔ PECOS✔ Accepts Medicare21 mi
Justin Travis, O.D.
Optometry
NPI 1295177152
1748 BROADWAY ST
Paducah, KY 42001
(270) 443-9955
✔ PECOS✔ Accepts Medicare21 mi
David Tucker, O.D.
Optometry
NPI 1194790352
1748 BROADWAY ST
Paducah, KY 42001
(270) 443-9955
✔ PECOS✔ Accepts Medicare21 mi
Hannah Ellis
Optometry
NPI 1063179091
60 LAKEVIEW DR
Paducah, KY 42001
(270) 554-2000
✔ PECOS✔ Accepts Medicare21 mi
Tiffany Reed, OD
Optometry
NPI 1396937850
60 LAKEVIEW DR
Paducah, KY 42001
(270) 554-2000
✔ PECOS✔ Accepts Medicare21 mi
Lexie Honey, OD
Optometry
NPI 1013607522
1709 N DIXIE AVE STE 101
Elizabethtown, KY 42701
(606) 219-1721
✔ PECOS✔ Accepts Medicare149 mi
Caylen Craft
Optometry
NPI 1730539461
1709 N DIXIE AVE STE 101
Elizabethtown, KY 42701
(270) 765-2020
✔ PECOS✔ Accepts Medicare149 mi
Dale Souleyrette, OD
Optometry
NPI 1205991791
1709 N DIXIE AVE STE 101
Elizabethtown, KY 42701
(270) 765-2020
✔ PECOS✔ Accepts Medicare149 mi
Lindsey Lucas, PHD
Optometry
NPI 1891281671
10639 DIXIE HWY
Louisville, KY 40272
(502) 933-9200
✔ PECOS✔ Accepts Medicare161 mi
Corissa Talamonti
Optometry
NPI 1780491555
10639 DIXIE HWY
Louisville, KY 40272
(502) 933-9200
✔ PECOS✔ Accepts Medicare161 mi
See all 53 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarkson Optometry Midwest Inc's NPI number?

The NPI number for Clarkson Optometry Midwest Inc is 1114475449. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Clarkson Eyecare.

Where is Clarkson Optometry Midwest Inc located?

Clarkson Optometry Midwest Inc is located at 109 W 5th St, Benton, KY 42025. The listed phone number is (636) 200-4393.

What is Clarkson Optometry Midwest Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Clarkson Optometry Midwest Inc enrolled in Medicare?

Yes. Clarkson Optometry Midwest Inc is registered in the Medicare PECOS enrollment system.

When is Clarkson Optometry Midwest Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clarkson Optometry Midwest Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians, all in Optometry, reassign their Medicare billing to Clarkson Optometry Midwest Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clarkson Optometry Midwest Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and CareSource list Clarkson Optometry Midwest Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarkson Optometry Midwest Inc was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.