Individual Healthcare Provider
Carolyn Sue Clark, O.D.
Provider's NPPES record last updated: May 18, 2018
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1013079771
- Primary Specialty
- Optometrist — Vision Therapy
- Practice Location
- Dublin, Ohio
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:46 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Optometrist
Vision Therapy
Eye and Vision Services Providers
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.
Taxonomy code 152WV0400X
Provider-Reported License Information
- Optometrist (Ohio)
- 4089
Practice Locations
Practice Location
4925 Bradenton Ave
Suite A
Dublin, Ohio 43017-7532
Phone: (614) 792-1974
Record Information
- Enumeration Date
- December 15, 2006
- Provider's NPPES Record Last Updated
- May 18, 2018
- NPISignal NPPES Dataset
- August 2026
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