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

Katie Clark, OD

Individual provider Optometrist · NPI 1164092383

Katie Clark, OD is an Optometry in Louisville, Kentucky. Graduated from Indiana University - School of Optometry in 2021, 5 years ago. Practices with Ky Doctors of Optometry, PLLC, a 64-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Trained at
Indiana University - School of Optometry
Licensed in
MN
In the registry since
2021
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

3408 Bardstown Rd
Louisville, KY 40218-4608
Phone: (502) 912-9884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3740 (MN)

Record details

NPI number1164092383
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address8639 County Road 16 Se, Delano, MN 55328-8134

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Ky Doctors Of Optometry, Pllc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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