| Clarkson Eyecare | |
|
15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 | |
| (636) 200-4393 | |
| (636) 527-0838 |
| Full Name | Clarkson Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15933 Clayton Rd Ste 201, Ballwin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548635758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Mark A Yates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992724256 PECOS PAC ID: 8527952050 Enrollment ID: I20040213000328 |
| Provider Name | Kirsten Klauss Reynolds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982601001 PECOS PAC ID: 9032186564 Enrollment ID: I20040914001034 |
| Provider Name | Becky L Rock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134289739 PECOS PAC ID: 3678535143 Enrollment ID: I20041028000212 |
| Provider Name | Jason Richard Diehl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003875147 PECOS PAC ID: 9931162476 Enrollment ID: I20041106000072 |
| Provider Name | Valerie J Barber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265504443 PECOS PAC ID: 8224087754 Enrollment ID: I20050121000423 |
| Provider Name | Keith R Hamm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225023401 PECOS PAC ID: 3678514015 Enrollment ID: I20050517000181 |
| Provider Name | Troy W Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316091887 PECOS PAC ID: 2567497704 Enrollment ID: I20050927000993 |
| Provider Name | Sabrina M Shultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316086580 PECOS PAC ID: 5193826147 Enrollment ID: I20070720000747 |
| Provider Name | Chad Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932199585 PECOS PAC ID: 6103840236 Enrollment ID: I20070823000060 |
| Provider Name | Thomas J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578695425 PECOS PAC ID: 9133203078 Enrollment ID: I20080229000687 |
| Provider Name | Jennifer Brave Rafati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184886731 PECOS PAC ID: 1254405855 Enrollment ID: I20081106000535 |
| Provider Name | Kathleen M Rivera-kunz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235134982 PECOS PAC ID: 4880743749 Enrollment ID: I20090522000489 |
| Provider Name | David D Ernst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306076518 PECOS PAC ID: 7810041498 Enrollment ID: I20090817000270 |
| Provider Name | Daniel A Wolf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225033970 PECOS PAC ID: 5698968915 Enrollment ID: I20101019001408 |
| Provider Name | Daniel P Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275536849 PECOS PAC ID: 1557485448 Enrollment ID: I20101026000831 |
| Provider Name | John Bush |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326150822 PECOS PAC ID: 5698828820 Enrollment ID: I20101220000208 |
| Provider Name | Brett Sobieralski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649405218 PECOS PAC ID: 1254461601 Enrollment ID: I20110104000597 |
| Provider Name | Bryan Hopkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346528569 PECOS PAC ID: 3678744885 Enrollment ID: I20110920000500 |
| Provider Name | Mark A Havera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306125166 PECOS PAC ID: 5496927576 Enrollment ID: I20111014000041 |
| Provider Name | Mark D Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881665073 PECOS PAC ID: 0345568770 Enrollment ID: I20150415002360 |
| Provider Name | Dana S Rozell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144604604 PECOS PAC ID: 4688982697 Enrollment ID: I20150924001376 |
| Provider Name | Mindy Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669804902 PECOS PAC ID: 9234431479 Enrollment ID: I20160105002987 |
| Provider Name | Alex Amann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942740212 PECOS PAC ID: 3678858958 Enrollment ID: I20180726001511 |
| Provider Name | Eric R Ricker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649797077 PECOS PAC ID: 6709135890 Enrollment ID: I20180829000099 |
| Provider Name | Andrew Ibisch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700356912 PECOS PAC ID: 3678818747 Enrollment ID: I20181218000908 |
| Provider Name | Dena Colantino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437717899 PECOS PAC ID: 0042544009 Enrollment ID: I20190625001337 |
| Provider Name | Joann Vu Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124688189 PECOS PAC ID: 9537493036 Enrollment ID: I20190823001367 |
| Provider Name | Alexandra Schuette Homann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114351921 PECOS PAC ID: 1557597689 Enrollment ID: I20191106001313 |
| Provider Name | James D Hollmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578533410 PECOS PAC ID: 9032242722 Enrollment ID: I20200911000700 |
| Provider Name | Amanda Adkisson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275150906 PECOS PAC ID: 6204250475 Enrollment ID: I20201019000894 |
| Provider Name | Deanna Ippolito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20210429000100 |
| Provider Name | Lindsey Leigh Parrish Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518548122 PECOS PAC ID: 1850771643 Enrollment ID: I20220711002893 |
| Provider Name | Amanda Kay Boscoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750076022 PECOS PAC ID: 2163888140 Enrollment ID: I20230517001290 |
| Provider Name | Molly June Stacks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164126793 PECOS PAC ID: 1658733076 Enrollment ID: I20230817001305 |
| Provider Name | Jonathan Michael Klunk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306546916 PECOS PAC ID: 5092178780 Enrollment ID: I20230829000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Eyecare Po Box 207163, Dallas, TX 75320-7154 Ph: (636) 200-4393 | Clarkson Eyecare 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 Ph: (636) 200-4393 |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14842 Manchester Rd, Ballwin, MO 63011 Phone: 636-200-4393 Fax: 636-557-4020 | |
Robin Leslie Meyer, O. D, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13901 Manchester Rd, Ballwin, MO 63011 Phone: 636-256-3285 Fax: 636-527-3038 | |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15933 Clayton Rd Ste 201, Ballwin, MO 63011 Phone: 636-200-4393 Fax: 636-527-0766 | |
Amy B Brunig, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Highlands Boulevard Dr, Vision Center, Ballwin, MO 63011 Phone: 636-256-3285 | |
Dr. Benjamin Thomas Secoy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14552 Manchester Rd, Ballwin, MO 63011 Phone: 636-227-8700 Fax: 636-227-0679 | |
Dr. Susan L Carlisle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Highlands Boulevard Dr, Ballwin, MO 63011 Phone: 636-256-3285 | |
Manchester Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 14552 Manchester Rd, Ballwin, MO 63011 Phone: 636-227-8700 Fax: 636-227-0679 |