DR. CAROLYN SUE CLARK O.D.
NPI 1013079771
Optometrist - Vision Therapy in Dublin, OH

Q: What is Carolyn Clark's NPI number?

The NPI number for Carolyn Clark is 1013079771. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Carolyn Clark's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Clark was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2006PECOS Enrolled

4925 BRADENTON AVE, SUITE A, DUBLIN, OH 43017(614) 792-1974(614) 760-1996 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Carolyn Sue Clark O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLYN SUE CLARK O.D. (NPI 1013079771) is an individual vision therapy provider in Dublin, Ohio, licensed in Ohio (4089) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013079771

Entity TypeIndividualFemale

Primary Taxonomy152WV0400X

Provider Legal NameDR. CAROLYN SUE CLARKCredential: O.D.

Location Address4925 BRADENTON AVE, SUITE ADublin, OH 43017-7532

Mailing Address4925 Bradenton Ave, Suite ADublin, OH 43017-7532 · (614) 792-1974 · Fax (614) 760-1996

Phone(614) 792-1974

Fax(614) 760-1996

Sole ProprietorYes

Enumeration DateDecember 15, 2006

Last NPPES UpdateMay 18, 2018

✔ NPI 1013079771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers

Taxonomy Code152WV0400X

License✔ Licensed in OH · 4089

Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

4925 BRADENTON AVE, Dublin, OH 43017

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Other Identifiers 1

Medicaid0762509OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carolyn Sue Clark O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS M SHIRCK D.O.

Otolaryngology (Plastic Surgery within the Head & Neck)

4925 BRADENTON AVE, SUITE C
DUBLIN, OH 43017

Franklin County (614) 336-7666

DUBLIN FAMILY VISION CENTER INC

Optometrist

4925 BRADENTON AVE, SUITE A
DUBLIN, OH 43017

Franklin County (614) 792-1974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Clark's NPI number?

The NPI number for Carolyn Clark is 1013079771. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Carolyn Clark located?

Carolyn Clark practices at 4925 Bradenton Ave Suite A, Dublin, OH 43017. The listed phone number is (614) 792-1974.

What is Carolyn Clark's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Carolyn Clark enrolled in Medicare?

Yes. Carolyn Clark is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Carolyn Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Clark was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.