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

Dr. Emmanuel Stevenson

Individual provider Optometrist · NPI 1215714043

Dr. Emmanuel Stevenson is an Optometry in Swansea, Illinois. Graduated from International American University at Puerto Rico - School of Optometry in 2025, 1 year ago. Practices with Clarkson Optometry Illinois, PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

2645 N Illinois St
Swansea, IL 62226-2302
Phone: (618) 767-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 N Grand Blvd, Saint Louis, MO 63106-1621 — (314) 652-4100

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.012080 (IL)

Record details

NPI number1215714043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address15933 Clayton Rd Ste 210, Ballwin, MO 63011-2172

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Clarkson Optometry Illinois, Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Swansea