| Clarkson Optometry, Inc | |
|
217 Clarkson Rd, Ellisville, MO 63011-2219 | |
| (636) 200-4393 | |
| (636) 200-4020 |
| Full Name | Clarkson Optometry, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 217 Clarkson Rd, Ellisville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497155345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03019 (Missouri) | Primary |
| Provider Name | Lisa A Durham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629074620 PECOS PAC ID: 8628035318 Enrollment ID: I20041214000897 |
| Provider Name | Kayce A Strohmeyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871643718 PECOS PAC ID: 2365490877 Enrollment ID: I20050111000393 |
| Provider Name | Amanda J Bissell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336145481 PECOS PAC ID: 0648221655 Enrollment ID: I20050208000262 |
| Provider Name | Robert W Rottler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376549378 PECOS PAC ID: 2466403274 Enrollment ID: I20050209000045 |
| Provider Name | Laura M Hegyi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689643249 PECOS PAC ID: 9335191428 Enrollment ID: I20050217000100 |
| Provider Name | Janet H Graf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972509883 PECOS PAC ID: 3779537337 Enrollment ID: I20050307000219 |
| Provider Name | Amber L Mccormick Gossage |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013908938 PECOS PAC ID: 5496785958 Enrollment ID: I20050816000131 |
| Provider Name | Scott E Smalley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174534879 PECOS PAC ID: 1850324450 Enrollment ID: I20050914000762 |
| Provider Name | Cinnamon Marie Langford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558375865 PECOS PAC ID: 8527091701 Enrollment ID: I20050917000207 |
| Provider Name | Lucias D Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720032600 PECOS PAC ID: 0941235576 Enrollment ID: I20051003000028 |
| Provider Name | Janet Collier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982606695 PECOS PAC ID: 2567487846 Enrollment ID: I20051006000519 |
| Provider Name | Diane M Jessen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063573400 PECOS PAC ID: 8426074329 Enrollment ID: I20051020000285 |
| Provider Name | Tiffany J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255466728 PECOS PAC ID: 2961429121 Enrollment ID: I20051027000055 |
| Provider Name | Jennifer Klinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114923109 PECOS PAC ID: 2163320789 Enrollment ID: I20051115000700 |
| Provider Name | Sarah D Hubbard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063467025 PECOS PAC ID: 8325050941 Enrollment ID: I20060626000043 |
| Provider Name | Sara T Strasser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407824139 PECOS PAC ID: 8022011279 Enrollment ID: I20060809000123 |
| Provider Name | Emma M Schafers-karl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558389270 PECOS PAC ID: 8921005646 Enrollment ID: I20061023000048 |
| Provider Name | Cathy L Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326016601 PECOS PAC ID: 3678573946 Enrollment ID: I20070110000466 |
| Provider Name | Stacy M Bell Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154379535 PECOS PAC ID: 0547363616 Enrollment ID: I20070309000202 |
| Provider Name | Kathleen J Boland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093822389 PECOS PAC ID: 7810090529 Enrollment ID: I20070319000473 |
| Provider Name | Blaire S Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548467798 PECOS PAC ID: 8729189170 Enrollment ID: I20070730000091 |
| Provider Name | Amber L Koester |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376696708 PECOS PAC ID: 6709823040 Enrollment ID: I20080314000146 |
| Provider Name | William F Kiefer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588627400 PECOS PAC ID: 8729164967 Enrollment ID: I20080327000587 |
| Provider Name | Sara Day |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811090830 PECOS PAC ID: 9537246590 Enrollment ID: I20080402000105 |
| Provider Name | Mindy B Rennard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851304240 PECOS PAC ID: 7416035308 Enrollment ID: I20080417000206 |
| Provider Name | Joel T Hubbard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801952734 PECOS PAC ID: 3678643285 Enrollment ID: I20080609000048 |
| Provider Name | Cody G Tubbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831353861 PECOS PAC ID: 5193891299 Enrollment ID: I20080912000462 |
| Provider Name | Melissa S Schneider |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477716264 PECOS PAC ID: 8729154844 Enrollment ID: I20080912000600 |
| Provider Name | Michael J Katich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669449765 PECOS PAC ID: 8628116746 Enrollment ID: I20091111000060 |
| Provider Name | Deanne M Wolk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922236678 PECOS PAC ID: 1254471725 Enrollment ID: I20091214000319 |
| Provider Name | Aaron M Brewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033306709 PECOS PAC ID: 3870680119 Enrollment ID: I20100623000465 |
| Provider Name | Justin T Wilkinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821251422 PECOS PAC ID: 7911039276 Enrollment ID: I20100722000033 |
| Provider Name | Alana L Keller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558526301 PECOS PAC ID: 4284766544 Enrollment ID: I20100722000043 |
| Provider Name | Megan L Crowell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295966927 PECOS PAC ID: 9032241179 Enrollment ID: I20100726000014 |
| Provider Name | James D Hollmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578533410 PECOS PAC ID: 9032242722 Enrollment ID: I20100802000598 |
| Provider Name | Leah N Mathews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043407711 PECOS PAC ID: 0446331078 Enrollment ID: I20100823000869 |
| Provider Name | Daniel P Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275536849 PECOS PAC ID: 1557485448 Enrollment ID: I20100830000410 |
| Provider Name | Tina M Dunkin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831401991 PECOS PAC ID: 6103941380 Enrollment ID: I20100910000840 |
| Provider Name | Theodore K. Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437153772 PECOS PAC ID: 3971628017 Enrollment ID: I20100914000260 |
| Provider Name | James P Scherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548574775 PECOS PAC ID: 7517082191 Enrollment ID: I20100920000846 |
| Provider Name | Steven Tilley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699766014 PECOS PAC ID: 5294722138 Enrollment ID: I20100928001106 |
| Provider Name | Marisa A Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124332234 PECOS PAC ID: 8022201508 Enrollment ID: I20101015000829 |
| Provider Name | Todd Bellamy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093711137 PECOS PAC ID: 4981885373 Enrollment ID: I20110217000565 |
| Provider Name | Jerry Kassel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306842398 PECOS PAC ID: 0840471165 Enrollment ID: I20110221000130 |
| Provider Name | Stephen Menzel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063418051 PECOS PAC ID: 6800077124 Enrollment ID: I20110221000183 |
| Provider Name | Glen Lojka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912903907 PECOS PAC ID: 0244411569 Enrollment ID: I20110221000197 |
| Provider Name | Raymond F Fada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013913094 PECOS PAC ID: 7214043801 Enrollment ID: I20110304000702 |
| Provider Name | Jeanine Dalton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780680868 PECOS PAC ID: 9739361288 Enrollment ID: I20110304000724 |
| Provider Name | Tuyet K Doan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578569653 PECOS PAC ID: 0547442097 Enrollment ID: I20110304000740 |
| Provider Name | Michael D Rohde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023014024 PECOS PAC ID: 9335321884 Enrollment ID: I20110304000771 |
| Provider Name | Amber Karpel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033115019 PECOS PAC ID: 5799967246 Enrollment ID: I20110304000777 |
| Provider Name | Margaret Deltergo-wachter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770589855 PECOS PAC ID: 2961684766 Enrollment ID: I20110316000198 |
| Provider Name | Henry Allhoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942206107 PECOS PAC ID: 7517075450 Enrollment ID: I20110316000247 |
| Provider Name | Colleen C Shear |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437155439 PECOS PAC ID: 4789867656 Enrollment ID: I20110330000835 |
| Provider Name | Leon M Romaine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922004928 PECOS PAC ID: 0446435119 Enrollment ID: I20110421000666 |
| Provider Name | Ernest C Doiron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558458521 PECOS PAC ID: 4183718406 Enrollment ID: I20110707000153 |
| Provider Name | Michael J Isserman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538165519 PECOS PAC ID: 0648448969 Enrollment ID: I20110712000438 |
| Provider Name | Eliot G Masek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134432149 PECOS PAC ID: 2466645312 Enrollment ID: I20120508000117 |
| Provider Name | Kayli M Schwamb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669750121 PECOS PAC ID: 1850548272 Enrollment ID: I20120820001017 |
| Provider Name | Gretchen A Gerhardt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831327857 PECOS PAC ID: 0244487940 Enrollment ID: I20120831000500 |
| Provider Name | Jeffrey James Lant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710241583 PECOS PAC ID: 9931357852 Enrollment ID: I20120919000316 |
| Provider Name | Sonia Salas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114254281 PECOS PAC ID: 1254475171 Enrollment ID: I20121001000169 |
| Provider Name | Matthew C Schwamb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609130434 PECOS PAC ID: 7012166051 Enrollment ID: I20121005000552 |
| Provider Name | Sameh A Boules |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669648374 PECOS PAC ID: 6305902115 Enrollment ID: I20130124000465 |
| Provider Name | Mark A Wilkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538423769 PECOS PAC ID: 7012156987 Enrollment ID: I20130625000823 |
| Provider Name | Andrea R Chancey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164861530 PECOS PAC ID: 1658512785 Enrollment ID: I20130801000068 |
| Provider Name | Stephanie L Cullinan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275898173 PECOS PAC ID: 2567696594 Enrollment ID: I20131007001224 |
| Provider Name | Neil F David |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760815948 PECOS PAC ID: 2062648280 Enrollment ID: I20131118001772 |
| Provider Name | Stephanie C Long |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639588965 PECOS PAC ID: 4385865419 Enrollment ID: I20141014002366 |
| Provider Name | Jessica L Laffoon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679980858 PECOS PAC ID: 0446471254 Enrollment ID: I20141021000113 |
| Provider Name | Melissa K Lorber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023373396 PECOS PAC ID: 9032435664 Enrollment ID: I20150226000113 |
| Provider Name | Fyizza Abbas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386053254 PECOS PAC ID: 9133447485 Enrollment ID: I20150416001044 |
| Provider Name | Sarah N Gore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871922369 PECOS PAC ID: 6507184777 Enrollment ID: I20150420001099 |
| Provider Name | Stephen Bollinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003296120 PECOS PAC ID: 3072828987 Enrollment ID: I20150820010602 |
| Provider Name | Lindsay Schad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215312913 PECOS PAC ID: 2163737099 Enrollment ID: I20150820011319 |
| Provider Name | Andrew D Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104209220 PECOS PAC ID: 4880909605 Enrollment ID: I20150821014169 |
| Provider Name | Shannon Niere |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538510094 PECOS PAC ID: 5193010056 Enrollment ID: I20160817001706 |
| Provider Name | Parker S Berg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477968329 PECOS PAC ID: 0345541975 Enrollment ID: I20161004001840 |
| Provider Name | Sarah B Hirsch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003977232 PECOS PAC ID: 6204116908 Enrollment ID: I20161215002212 |
| Provider Name | Alexandra Schuette Homann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114351921 PECOS PAC ID: 1557597689 Enrollment ID: I20161230001716 |
| Provider Name | Alex Amann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942740212 PECOS PAC ID: 3678858958 Enrollment ID: I20170329000771 |
| Provider Name | Ashley S Hemphill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255851812 PECOS PAC ID: 5193096048 Enrollment ID: I20170810002049 |
| Provider Name | Kristen M Buskirk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720494412 PECOS PAC ID: 7315264728 Enrollment ID: I20170824000010 |
| Provider Name | Grant Hill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831440577 PECOS PAC ID: 3870733967 Enrollment ID: I20170908002300 |
| Provider Name | Cailyn Katsev Ruck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093232456 PECOS PAC ID: 2961766159 Enrollment ID: I20180516002305 |
| Provider Name | Victoria Stewart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871087817 PECOS PAC ID: 1153679717 Enrollment ID: I20180730003591 |
| Provider Name | Judy Y Chun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356419006 PECOS PAC ID: 1557433851 Enrollment ID: I20180827003552 |
| Provider Name | Robert D. Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043799844 PECOS PAC ID: 9537419270 Enrollment ID: I20180830001386 |
| Provider Name | Rachel Rexing-thacker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437641354 PECOS PAC ID: 3274887328 Enrollment ID: I20181108002259 |
| Provider Name | Senija Turan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306378450 PECOS PAC ID: 4789952797 Enrollment ID: I20190405002115 |
| Provider Name | Lauren A Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285049767 PECOS PAC ID: 2163642257 Enrollment ID: I20190718000302 |
| Provider Name | Dustin William Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821640517 PECOS PAC ID: 3476889544 Enrollment ID: I20190726001140 |
| Provider Name | Karla R Hafford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548660517 PECOS PAC ID: 2365664950 Enrollment ID: I20200204001656 |
| Provider Name | Aric Waltz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609491422 PECOS PAC ID: 9032530498 Enrollment ID: I20200610003500 |
| Provider Name | Annie Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073136479 PECOS PAC ID: 9537581673 Enrollment ID: I20200618003179 |
| Provider Name | Robert William Duncan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700402500 PECOS PAC ID: 6204258213 Enrollment ID: I20200622000183 |
| Provider Name | Amanda Adkisson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275150906 PECOS PAC ID: 6204250475 Enrollment ID: I20200721002054 |
| Provider Name | Fei Fu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265039143 PECOS PAC ID: 7810317088 Enrollment ID: I20201009001518 |
| Provider Name | Nicholas Portell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851916035 PECOS PAC ID: 3870902844 Enrollment ID: I20210503002133 |
| Provider Name | Quinn Phillips Gallen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619594470 PECOS PAC ID: 5395151559 Enrollment ID: I20210519002749 |
| Provider Name | Lizabeth Marquart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356910913 PECOS PAC ID: 0244631760 Enrollment ID: I20210622001330 |
| Provider Name | Sabina M Hoover |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922459528 PECOS PAC ID: 3971897893 Enrollment ID: I20220520002022 |
| Provider Name | Mohammed Salman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225760200 PECOS PAC ID: 0244610913 Enrollment ID: I20220712002345 |
| Provider Name | Ashley Lynn Dimercurio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871228551 PECOS PAC ID: 2062894355 Enrollment ID: I20220803001476 |
| Provider Name | Theresa Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20221007001004 |
| Provider Name | Antonio Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912107905 PECOS PAC ID: 5698926012 Enrollment ID: I20221007001609 |
| Provider Name | Paige Blankenheim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386361319 PECOS PAC ID: 5294102836 Enrollment ID: I20221110001179 |
| Provider Name | Alan Barber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841318839 PECOS PAC ID: 4183761588 Enrollment ID: I20230509000348 |
| Provider Name | Tyler Wayne Mathenia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033895131 PECOS PAC ID: 5799147203 Enrollment ID: I20230816000728 |
| Provider Name | Jacob Austin Travis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639863392 PECOS PAC ID: 7911369244 Enrollment ID: I20230817002153 |
| Provider Name | Jonathan Michael Klunk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306546916 PECOS PAC ID: 5092178780 Enrollment ID: I20231227000278 |
| Provider Name | Michelle Pearle Morrison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831899350 PECOS PAC ID: 6901257963 Enrollment ID: I20240104000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Optometry, Inc Po Box 207158, Dallas, TX 75320-7158 Ph: (636) 200-4393 | Clarkson Optometry, Inc 217 Clarkson Rd, Ellisville, MO 63011-2219 Ph: (636) 200-4393 |
Melissa Kay Lorber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 194 Clarkson Rd, Ellisville, MO 63011 Phone: 636-227-2020 | |
Dr. Jennifer Klinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 194 Clarkson Rd, Ellisville, MO 63011 Phone: 636-227-2020 Fax: 636-227-9968 | |
Dr. Gary Wayne Delancey, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Old State Rd, Suite 101, Ellisville, MO 63021 Phone: 636-256-7800 Fax: 636-394-1011 | |
Optimized Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 317 Clarkson Rd, Ellisville, MO 63011 Phone: 314-374-6831 | |
Cusumano Vision Center, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 317 Clarkson Rd, Ellisville, MO 63011 Phone: 636-391-3937 | |
Dr. James Wachter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 194 Clarkson Rd, Ellisville, MO 63011 Phone: 636-227-2020 Fax: 636-227-9968 |