Clarkson Optometry Illinois PC
Clarkson Optometry Illinois PC is a healthcare organization registered as Optometrist in Waterloo, IL, holding Type 2 (organization) NPI 1649464553 since 2007. The authorized official on file is James Wachter, Cmo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649464553 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clarkson Optometry Illinois PC |
| Other name | <Unavail> |
| Practice address | 204 BRADFORD LANE, Waterloo, IL, 62298 |
| Phone | 6362004393 |
| Fax | 6189396037 |
| Enumeration date | 2007-09-04 |
| Last updated in NPPES | 2019-06-21 |
Authorized official
| Name | James Wachter |
|---|---|
| Title | Cmo |
| Phone | 6362004393 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 036104178 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104178 | Medicaid | IL | — |
Copy-ready billing details
Provider: Clarkson Optometry Illinois PC NPI: 1649464553 Taxonomy: 152W00000X (Optometrist) Address: 204 BRADFORD LANE, Waterloo, IL, 62298
Verify this record
Cross-check NPI 1649464553 against the authoritative CMS record: view Clarkson Optometry Illinois PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Clarkson Optometry Illinois PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-06-21.