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Contact Information

CLARKSON OPTOMETRY MIDWEST INC
3600 OLENTANGY RIVER RD STE B
COLUMBUS, OH43214-3437
 Phone: 636-200-4393
 Fax: 614-545-0749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens

156FC0800X
 

Occupational Vision

152WX0102X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for CLARKSON OPTOMETRY MIDWEST INC

NPI # 1083642086
LBN Legal business name CLARKSON OPTOMETRY MIDWEST INC
Authorized official JAMES WACHTER - (CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2006
Last updated 06/07/2019 - About 7 years ago
Identifiers
OH License # 002917
OH License # 3934
OH License # 5838
OH Other 4704870001 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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