Clarkson Optometry Illinois, P.C.
Clarkson Optometry Illinois, P.C. is a healthcare organization registered as Optometrist in Centralia, IL, holding Type 2 (organization) NPI 1730373648 since 2007. The authorized official on file is James Wachter, Cmo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730373648 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clarkson Optometry Illinois, P.C. |
| Other name | <Unavail> |
| Practice address | 408 W 2ND ST, Centralia, IL, 62801 |
| Phone | 6362004393 |
| Fax | 6185326706 |
| Enumeration date | 2007-09-04 |
| Last updated in NPPES | 2019-06-06 |
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, P.C. NPI: 1730373648 Taxonomy: 152W00000X (Optometrist) Address: 408 W 2ND ST, Centralia, IL, 62801
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235134982 | Kathleen Rivera - Kunz | Individual | Optometrist | Centralia, IL |
| 1225033970 | Daniel Wolf | Individual | Optometrist | Centralia, IL |
| 1548276306 | Eyecare Management, LLC | Organization | Optometrist | Centralia, IL |
Verify this record
Cross-check NPI 1730373648 against the authoritative CMS record: view Clarkson Optometry Illinois, P.C. 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 is the NPI number for Clarkson Optometry Illinois, P.C.?
Who is the authorized official for Clarkson Optometry Illinois, P.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-06-06.