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Active NPI 1013079771 Individual Practitioner Female Practitioner

Dr. Carolyn Sue Clark , OD

Optometrist - Vision Therapy • Dublin, OH

Professional Overview & Biography Verified Profile Summary

Dr. Carolyn Clark, OD is a registered healthcare professional specializing in Optometrist - Vision Therapy in Dublin, OH. Practice services are available at 4925 BRADENTON AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4925 Bradenton Ave
Suite A

Dublin, OH 430177532

Telephone 6147921974
Fax 6147601996
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist - Vision Therapy in Dublin, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Dublin, OH (11 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
13 13 $88.00 $86.70

Medical Specialties & State Licenses

Optometrist - Vision Therapy Primary Specialty

NUCC Taxonomy Code: 152WV0400X

State License OH 4089

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0762509 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1992927156

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 13, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2009

Registered at 4925 BRADENTON AVE, SUITE A, DUBLIN, OH 430177532 (Tel: 6147921974)

📍
Updated Business Mailing Address May 13, 2009

Registered at 4925 BRADENTON AVE, SUITE A, DUBLIN, OH 430177532 (Tel: 6147921974)

👤
Provider Name / Credentials Updated May 13, 2009

Recorded as CAROLYN CLARK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2009

Optometrist (License #4089 in OH)

🟢
Initial NPI Registration & Enumeration December 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013079771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: May 18, 2018
Sole Proprietor: Yes

Mailing Address

4925 Bradenton Ave, Suite A

Dublin, OH 430177532

Phone: 6147921974

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.