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NPI · 1013079771 · NPPES-sourced

Dr. Carolyn Clark O.D.

ActiveVision Therapy Optometrist
NPI Number
1013079771
Type 1 · Individual
Taxonomy Code
152WV0400X
Contact
(614) 792-1974
License OH · 4089
Last Updated
About 8 years ago (May 2018)
Enumerated 2006-12-15
Primary practice addressOH · 43017-7532
4925 Bradenton Ave, Suite ADublin, OH 43017-7532
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About this NPIWhat this record shows.

NPI 1013079771 is registered to Dr. Carolyn Clark O.D., a Vision Therapy Optometrist practising at 4925 Bradenton Ave, Suite A in Dublin, Ohio. Vision Therapy Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Carolyn Clark O.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-12-15
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Carolyn Clark O.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Carolyn Clark O.D. directly at (614) 792-1974.

Frequently asked

Yes. NPI 1013079771 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Vision Therapy Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (614) 792-1974.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Carolyn Clark O.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152WV0400X
Last updated2018-05
Enumerated2006-12-15
StatusActive
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