| Clarkson Optometry Illinois, P.c. | |
|
1310 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| (636) 200-4393 | |
| (618) 467-1053 |
| Full Name | Clarkson Optometry Illinois, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1310 Dadrian Professional Park, Godfrey, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851679625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 036058812 (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Optometry Illinois, P.c. Po Box 207163, Dallas, TX 75320-7154 Ph: (636) 200-4393 | Clarkson Optometry Illinois, P.c. 1310 Dadrian Professional Park, Godfrey, IL 62035-1685 Ph: (636) 200-4393 |
Bradley D Martinson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Adeyinka A Adewale, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Dr. Mark Edward Ferguson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Rose Optical, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Andrew Ibisch, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1310 Dadrian Prof Park, Godfrey, IL 62035 Phone: 618-433-5005 Fax: 618-467-1053 | |
Ron Loflin, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 | |
Illini Optometric Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 |