DR. CHRISTINE D CLARK PH.D., TVI, DTV
NPI 1043495179
Optometrist - Vision Therapy in Bloomington, IL

Q: What is Christine Clark's NPI number?

The NPI number for Christine Clark is 1043495179. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Q: What is Christine 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 Christine Clark was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 08, 2008

221 WOODLAND AVE, BLOOMINGTON, IL 61701(309) 824-5841 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Christine D Clark Ph.d., Tvi, Dtv NPPES

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

DR. CHRISTINE D CLARK PH.D., TVI, DTV (NPI 1043495179) is an individual vision therapy provider in Bloomington, Illinois, licensed in Utah (NON NUMBERED LICENSE) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1043495179

Entity TypeIndividualFemale

Primary Taxonomy152WV0400X

Provider Legal NameDR. CHRISTINE D CLARKCredential: PH.D., TVI, DTV

Location Address221 WOODLAND AVEBloomington, IL 61701-5659

Mailing Address221 Woodland AveBloomington, IL 61701-5659 · (309) 824-5841

Phone(309) 824-5841

Sole ProprietorYes

Enumeration DateJanuary 8, 2008

✔ NPI 1043495179 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 UT · NON NUMBERED LICENSE

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.

221 WOODLAND AVE, Bloomington, IL 61701

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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 Christine Clark's NPI number?

The NPI number for Christine Clark is 1043495179. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Christine Clark located?

Christine Clark practices at 221 Woodland Ave, Bloomington, IL 61701. The listed phone number is (309) 824-5841.

What is Christine Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Christine Clark was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.