Clarkson Optometry Illinois Pc is a
Optometrist based in Breese, Illinois. Clarkson Optometry Illinois Pc is licensed to practice in Illinois (license number 036104178) and their current practice location is
103 Clintonian Plaza, Breese, Illinois. It can be reached at their office (for appointments etc.) via phone at
(636) 200-4393.
NPI number for Clarkson Optometry Illinois Pc is 1063606978 and their current mailing address is Po Box 207163, Dallas, Texas. Clarkson Optometry Illinois Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063606978.
Healthcare Provider's Profile
Full Name | Clarkson Optometry Illinois Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 103 Clintonian Plaza, Breese, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063606978
- Provider Enumeration Date: 09/04/2007
- Last Update Date: 06/21/2019
Medical Identifiers
Medical identifiers for Clarkson Optometry Illinois Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063606978 | NPI | - | NPPES |
036104178 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 036104178 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarkson Optometry Illinois Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clarkson Optometry Illinois Pc Po Box 207163, Dallas, TX 75320-7154 Ph: (636) 200-4393 | Clarkson Optometry Illinois Pc 103 Clintonian Plaza, Breese, IL 62230 Ph: (636) 200-4393 |
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