| Clarkson Optometry Midwest Inc. | |
|
43 Industrial Pkwy, Calvert City, KY 42029-8416 | |
| (636) 200-4393 | |
| Not Available |
| Full Name | Clarkson Optometry Midwest Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 43 Industrial Pkwy, Calvert City, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356750848 | NPI | - | NPPES |
| 7100312880 | Medicaid | KY | |
| 1306191218 | Other | KY | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1896DT (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Optometry Midwest Inc. Po Box 207170, Dallas, TX 75320-7156 Ph: (636) 200-4393 | Clarkson Optometry Midwest Inc. 43 Industrial Pkwy, Calvert City, KY 42029-8416 Ph: (636) 200-4393 |
Ben Leonard, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 43 Industrial Pkwy, Calvert City, KY 42029 Phone: 270-395-8331 | |
John P Lyles Optometrist Optometrist Medicare: Not Enrolled in Medicare Practice Location: 43 Industrial Parkway, Calvert City, KY 42029 Phone: 270-395-8331 Fax: 270-395-5360 |