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

Clarkson Optometry Illinois PC

Organization Optometrist · NPI 1558640250

Clarkson Optometry Illinois PC is an Optometrist in Granite City, Illinois. Registered with an NPI since 2011.

In the registry since
2011
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

3405 Nameoki Rd Ste A
Granite City, IL 62040-3709
Phone: (636) 200-4393
Fax: (618) 219-8910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1558640250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wachter — Cmo · (636) 200-4393
Other names Clarkson Eyecare; Clarkson Eyecare
NPI enumeratedAugust 11, 2011
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
Mailing addressPo Box 207163, Dallas, TX 75320-7163

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