Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian M Clark, OD

Individual provider Optometrist · NPI 1164686572

Brian M Clark, OD is an Optometry in Louisville, Kentucky. Graduated from Illinois College of Optometry at Chicago in 2008, 18 years ago. Practices with Gaddie Eye Centers LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
18
Trained at
Illinois College of Optometry at Chicago
Licensed in
KY
In the registry since
2008
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

7635 Shelbyville Rd
Louisville, KY 40222-5409
Phone: (502) 423-8500
Fax: (502) 339-0571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1742DT (KY)

Record details

NPI number1164686572
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 15, 2008
Last updated in NPPESOctober 20, 2010
Mailing address7635 Shelbyville Rd, Louisville, KY 40222-5409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2008 (18 years in practice)
Group practice Gaddie Eye Centers Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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