Clark, Carolyn Sue
Clark, Carolyn Sue is an sole proprietor health care provider with primary practice located at 4925 Bradenton Ave Suite A, Dublin OH 43017-7532. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Clark, Carolyn Sue can be contacted via phone (614) 792-1974.Contact Information
Primary practice address
4925 Bradenton Ave Suite A
Dublin OH 43017-7532
Phone: (614) 792-1974
Fax: (614) 760-1996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4089 | Ohio |
Profile Details
| NPI number | 1013079771 |
|---|---|
| LBN Legal business name | Clark, Carolyn Sue |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | May 18th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013079771 | NPPES |
| Ohio | MEDICAID | 0762509 |
Popular Providers
-
Borsuk, Mark P
108 Olde Towne Ave Ste 16, Gaithersburg MD 20877-6005 -
Dzik, Joseph M.
7329 Shallowford Rd , Chattanooga TN 37421-2627 -
Barajas, Juan Jose
1300 S Bryan Rd Ste 105, Mission TX 78572-6688 -
Maimone, Terrylee
7000 Boulevard East , Guttenberg NJ 07093-4818 -
Eischens, George Nicholas
605 Jasmine Trl , Prattville AL 36066-3661 -
Rubin, Jeffrey M.
55 Old Turnpike Rd Ste 201, Nanuet NY 10954-2450 -
Buck, Pauline Kolker
4770 Biscayne Blvd Suite 550, Miami FL 33137-3202 -
Graf, Dale K.
105 W Orchard Ave , Selah WA 98942-1329