Clarkson Eyecare – Optometrist, NPI 1073917597

Clarkson Eyecare is a healthcare provider. based in Dallas, Texas. specializing in Optometrist. The organization holds a License No. 1457DT (OH). The NPI Number for Clarkson Eyecare is 1073917597

Main info

Organization
Name
Clarkson Eyecare
NPI
1073917597
Phone
(636) 200-4393
Address
PO BOX 207170
Authorized Official
JAMES WACHTER CMO
Enumeration Date
13 October 2014
Last Update Date
20 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:11State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Clarkson Eyecare

  • PO BOX 207170

    DALLAS, TX 753207156

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 3951 W FRANKLIN ST

    BELLBROOK, OH 453051834

    Phone: (636) 200-4393

    Type: Location

  • 2498 Dixie Hwy

    Ft Mitchell, KY 410173010

    Phone: (636) 200-4393

    Type: Location

  • 8548 Beechmont Ave

    Cincinnati, OH 452554708

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Location

  • 1064 State Route 28 # Uniteb

    Milford, OH 451504940

    Phone: (636) 200-4393

    Type: Location

  • 112 Glover Dr

    Mount Orab, OH 451548390

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Location

  • 21014 Center Ridge Rd

    Rocky River, OH 441164305

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Location

  • 10539 Harrison Ave

    Harrison, OH 450301943

    Phone: (636) 200-4393

    Type: Location

  • 946 Pearl Rd

    Brunswick, OH 442122562

    Phone: (636) 200-4393

    Type: Location

  • 2751 Blue Rock Rd

    Cincinnati, OH 452396332

    Phone: (636) 200-4393

    Type: Location

  • 11919 Montgomery Rd

    Cincinnati, OH 452492019

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Location

  • 2045 Anderson Ferry Rd

    Cincinnati, OH 452383325

    Phone: (636) 200-4393

    Type: Location

  • 8118 Montgomery Rd

    Cincinnati, OH 452362935

    Phone: (636) 200-4393

    Type: Location

  • 3600 E US 22 and 3

    Morrow, OH 451529688

    Phone: (636) 200-4393

    Type: Location

  • 15933 Clayton Rd Ste 201

    Ballwin, MO 63011

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Location

  • 7849 Tylersville Rd

    West Chester, OH 450692510

    Phone: (636) 200-4393

    Type: Location

  • 7437 Wooster Pike

    Cincinnati, OH 452273895

    Phone: (636) 200-4393

    Type: Location

  • 530 Wessel Dr

    Fairfield, OH 450143650

    Phone: (636) 200-4393

    Type: Location

  • 4021 Far Hills Ave

    Kettering, OH 454292413

    Phone: (636) 200-4393

    Type: Location

  • 10566 Loveland Madeira Rd

    Loveland, OH 451408962

    Phone: (636) 200-4393

    Type: Location

  • 9525 Kenwood Rd

    Blue Ash, OH 452426176

    Phone: (636) 200-4393

    Type: Location

  • 3978 Alexandria Pike

    Cold Spring, KY 410761816

    Phone: (636) 200-4393

    Type: Location

  • 5283 CORNERSTONE NORTH BLVD

    CENTERVILLE, OH 454402270

    Phone: (937) 848-6601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20160526000461OClinic/Group PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75320)

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Reviews

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Frequently asked questions

Does Clarkson Eyecare share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Clarkson Eyecare uses 1073917597.
Does the file indicate Clarkson Eyecare is practicing under active NPI?
Directory data currently reports Clarkson Eyecare as active.
What taxonomy line describes Clarkson Eyecare?
For research purposes, treat Clarkson Eyecare as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Clarkson Eyecare?
Clarkson Eyecare's geographic hint is Dallas, Texas in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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