Individual
OLIVIA CAROLINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
322 S WOODSCREST DR, BLOOMINGTON, IN 47401-5314
(812) 332-2020
(812) 334-1414
Mailing address
322 S WOODSCREST DR, BLOOMINGTON, IN 47401-5314
(812) 332-2020
(812) 334-1414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004399A
IN
Other
Enumeration date
06/15/2023
Last updated
04/11/2025
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