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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CAROLYN SUE CLARK, O.D.

Active Sole Proprietor

DR. CAROLYN SUE CLARK, O.D. is a Vision Therapy Optometrist healthcare provider located in DUBLIN, Ohio. NPI 1013079771 is currently active in the NPPES registry. Verify at CMS.

Vision Therapy Optometrist · DUBLIN, OH

Registration Details

NPI Number
1013079771
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2006 (19.687571718487 yrs)
Last Updated
May 18, 2018
License
4089 (OH)
Sole Proprietor
Yes

Practice Information

Address
4925 BRADENTON AVE
SUITE A
DUBLIN, OH, 430177532
Browse OH providers · Browse ZIP 43017
Phone
6147921974
Fax
6147601996
Primary Specialty
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.