Samantha Clark is a Plymouth, Indiana based female Optometrist with 5 years of experience in Optometry. She completed her graduation from Illinois College Of Optometry At Chicago in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samantha Clark is 18004186A for Optometry in Indiana. Samantha Clark examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Samantha Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
5+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
2019
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2878 Miller Dr, Plymouth, Indiana, 46563-8094
Phone:
574-935-3937
Fax:
574-936-4942
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678800729
Enrollment ID:
I20190812003048
NPI Number:
1033763016
NPI Enumeration Date:
29 Jul, 2019
NPI Last Update On:
28 Feb, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Clark are as mentioned below.
License Number
Specialization
State
Status
18004186A
Optometry
Indiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Samantha Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Plymouth Eye Clinic Pc (4981695665)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Samantha Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
18004186A
Other
Indiana
OPTOMETRY LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
111 E 4th St Ste 440, Alton, Illinois
Zip:
62002-6206
Phone Number:
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Fax Number:
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Patients can reach Samantha Clark at 2878 Miller Dr, Plymouth, Indiana or can call to book an appointment on 574-935-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.