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CLARKSON OPTOMETRY ILLINOIS PC
NPI 1124214051
Optometrist in Belleville, IL

Active since September 25, 2007
2525 GREEN MOUNT CROSSING DR., SUITE 290, BELLEVILLE, IL 62221(636) 200-4393(618) 233-7290 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 21, 2019, Jun 4, 2019, Nov 8, 2017 (3 updates tracked since 2017).

About Clarkson Optometry Illinois Pc NPPES

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

CLARKSON OPTOMETRY ILLINOIS PC (NPI 1124214051) is a healthcare organization registered as an optometrist in Belleville, Illinois and active in the NPI registry since September 2007. The organization lists James J Wachter, Cmo, as its authorized official.

NPPES Registry Identity

NPI1124214051
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCLARKSON OPTOMETRY ILLINOIS PC
Location Address2525 GREEN MOUNT CROSSING DR., SUITE 290Belleville, IL 62221-6735
Mailing AddressPo Box 207163Dallas, TX 75320-7154 · (636) 200-4393 · Fax (636) 527-0766
Phone(636) 200-4393
Fax(618) 233-7290
Organization SubpartNo
Authorized OfficialJames J WachterCmo · (636) 200-4393
Enumeration DateSeptember 25, 2007
Last NPPES UpdateJune 21, 20193 updates tracked since enumeration
✔ NPI 1124214051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 0046.009944
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.
2525 GREEN MOUNT CROSSING DR., Belleville, IL 62221
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Clarkson Eyecare carries, from the Medicare DMEPOS supplier directory.

Clarkson Eyecare

DMEPOS supplier · Belleville, ILOperated by Clarkson Optometry Illinois, PC
✔

Accepts Medicare assignment

Clarkson Eyecare agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20422505
Medicare Participant SinceFebruary 20, 2019
Supplier Location2525 Green Mount Commons Dr Ste 290Belleville, IL 62221
Phone(618) 233-7800
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Illinois PC's NPI number?

The NPI number for Clarkson Optometry Illinois PC is 1124214051. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Clarkson Optometry Illinois PC located?

Clarkson Optometry Illinois PC is located at 2525 Green Mount Crossing Dr. Suite 290, Belleville, IL 62221. The listed phone number is (636) 200-4393.

What is Clarkson Optometry Illinois PC's specialty?

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

Does Clarkson Optometry Illinois PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Clarkson Eyecare accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Clarkson Optometry Illinois PC accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Clarkson Optometry Illinois PC 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 Illinois PC was last updated on June 21, 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.