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 1649464553

Clarkson Optometry Illinois PC is an Optometrist in Waterloo, 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

204 Bradford Ln
Waterloo, IL 62298
Phone: (636) 200-4393
Fax: (618) 939-6037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 036104178 (IL)

Record details

NPI number1649464553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wachter — Cmo · (636) 200-4393
Other names Clarkson Eyecare
NPI enumeratedSeptember 4, 2007
Last updated in NPPESJune 21, 2019
Mailing addressPo Box 207163, Dallas, TX 75320-7154

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