NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Samantha Clark, OD

Optometrist in Plymouth, IN · enumerated 2019 · practices at Plymouth Eye Clinic, P.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033763016

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Registry record

Entity type Individual (Type 1)
Name Samantha Clark
Credential OD
Sex Female
Practice address Plymouth, IN, 46563
Phone (574) 935-3937
Fax (574) 936-4942
Enumeration date Jul 29, 2019
Last updated in NPPES Feb 28, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 18004186A (IN) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
18004186A Other IN OPTOMETRY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Samantha Clark's NPI record?
Cross-check NPI 1033763016 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1033763016 active?
Yes, as of the latest NPPES snapshot, NPI 1033763016 is active (record last updated 2023-02-28).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-28.