Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarkson Optometry Illinois PC

Organization Optometrist · NPI 1124214051

Clarkson Optometry Illinois PC is an Optometrist in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2525 Green Mount Crossing Dr Ste 290
Belleville, IL 62221-6735
Phone: (636) 200-4393
Fax: (618) 233-7290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0046.009944 (IL)

Record details

NPI number1124214051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wachter — Cmo · (636) 200-4393
NPI enumeratedSeptember 25, 2007
Last updated in NPPESJune 21, 2019
Mailing addressPo Box 207163, Dallas, TX 75320-7154

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