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

Kristen Nicole Clark, OD

Individual provider Optometrist · NPI 1306134317

Kristen Nicole Clark, OD is an Optometry in Champaign, Illinois. Graduated from Illinois College of Optometry at Chicago in 2011, 15 years ago. Practices with Eye Physicians of Olympia Inc Ps, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2435 Village Green Pl
Champaign, IL 61822-7676
Phone: (800) 325-7706
Fax: (309) 829-8397
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046010447 (IL)

Record details

NPI number1306134317
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 12, 2011
Last updated in NPPESAugust 5, 2011

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2011 (15 years in practice)
Group practice Eye Physicians Of Olympia Inc Ps — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Champaign