Samantha Clark, OD

NPI #1033763016 in Plymouth, Indiana

Provider Information

NPI Number: 1033763016
Entity Type: Individual
Name: Samantha Clark, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 29, 2019
Last Updated: Feb 28, 2023

Practice Location

Address: 2878 MILLER DR
City: Plymouth
State: Indiana
ZIP Code: 46563-8094
Phone: (574) 935-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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