Clarkson Optometry Illinois Pc is a
Optometrist based in Red Bud, Illinois. Clarkson Optometry Illinois Pc is licensed to practice in Illinois (license number ) and their current practice location is
210 S Main, Red Bud, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 635-3535.
NPI number for Clarkson Optometry Illinois Pc is 1952595878 and their current mailing address is 15933 Clayton Rd Ste 201, Ballwin, Missouri. Clarkson Optometry Illinois Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1952595878.
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 | 210 S Main, Red Bud, 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: 1952595878
- Provider Enumeration Date: 09/04/2007
- Last Update Date: 01/31/2018
Medical Identifiers
Medical identifiers for Clarkson Optometry Illinois Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952595878 | NPI | - | NPPES |
036104178 | Medicaid | IL | |
046008176 | Medicaid | IL | |
0460085471 | Medicaid | IL | |
0460089501 | Medicaid | IL | |
203195 | Other | | PTAN |
0460069901 | Medicaid | IL | |
046006474 | Medicaid | IL | |
0460078192 | Medicaid | IL | |
0460089082 | Medicaid | IL | |
203193 | Other | | PTAN |
203194 | Other | | PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (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 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 Ph: (636) 200-4393 | Clarkson Optometry Illinois Pc 210 S Main, Red Bud, IL 62278 Ph: (618) 635-3535 |
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