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

About DR. CAROLYN SUE CLARK O.D.

Carolyn Clark is a provider established in Dublin, Ohio and her medical specialization is Optometrist with a focus in vision therapy . The NPI number of Carolyn Clark is 1013079771 and was assigned on December 2006. The practitioner's primary taxonomy code is 152WV0400X with license number 4089 (OH). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1013079771
Provider NameDR. CAROLYN SUE CLARK O.D.
Location Address4925 BRADENTON AVE SUITE A DUBLIN, OH 43017
Location Phone(614) 792-1974
Mailing Address4925 BRADENTON AVE SUITE A DUBLIN, OH 43017
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date12-15-2006
Last Update Date05-18-2018

Carolyn Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code152WV0400X
ClassificationOptometrist
TypeEye and Vision Services Providers
SpecializationVision Therapy
License No.4089
License StateOH
Taxonomy DescriptionOptometrists 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. CAROLYN SUE CLARK O.D.
4925 BRADENTON AVE
SUITE A
DUBLIN, OH
ZIP 43017
Phone: (614) 792-1974
Fax: (614) 760-1996

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Mailing Address

DR. CAROLYN SUE CLARK O.D.
4925 BRADENTON AVE
SUITE A
DUBLIN, OH
ZIP 43017
Phone: (614) 792-1974
Fax: (614) 760-1996


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0762509MEDICAID (05)OH

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013079771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230718714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 8 + 7 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1013079771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922030592DR. THOMAS M SHIRCK D.O.
Individual
Otolaryngology (Plastic Surgery within the Head & Neck)4925 BRADENTON AVE SUITE C
DUBLIN, OH 43017
(614) 336-7666
1982986204DUBLIN FAMILY VISION CENTER INC
Organization
Optometrist4925 BRADENTON AVE SUITE A
DUBLIN, OH 43017
(614) 792-1974

Frequently Asked Questions

What is Dr. Carolyn Clark O.D. NPI number?

The NPI number assigned to Dr. Carolyn Clark O.D. is 1013079771, registered as an "individual" on December 15, 2006

Where is Dr. Carolyn Clark O.D. located?

The provider is located at 4925 Bradenton Ave Suite A Dublin, Oh 43017 and the phone number is (614) 792-1974

Which is Dr. Carolyn Clark O.D. specialty?

The provider's speciality is Optometrist with a focus in Vision Therapy

What insurance does Dr. Carolyn Clark O.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Carolyn Clark O.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

How much is a visit to Dr. Carolyn Clark O.D.?

Medicare beneficiaries should expect a typical cost of $131.59 with an average copayment of $32.89 for new patient appointments. Established patients should expect a typical charge of $71.2 and an average copayment of 17.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Dr. Carolyn Clark O.D. was last updated on December 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]