# DR. CAROLYN SUE CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013079771
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WV0400X | Vision Therapy Optometrist | 4089 | OH | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 05/18/2018