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 1669668836

Clarkson Optometry Illinois PC is an Optometrist in Edwardsville, 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

6663 Edwardsville Crossing Dr
Edwardsville, IL 62025-2704
Phone: (636) 200-4393
Fax: (618) 655-0375
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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 number1669668836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wachter — Cmo · (636) 200-4393
NPI enumeratedSeptember 20, 2007
Last updated in NPPESJune 21, 2019
Mailing addressPo Box 207163, Dallas, TX 75320-7154

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