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

Samantha Clark, OD

Individual provider Optometrist · NPI 1033763016

Samantha Clark, OD is an Optometry in Plymouth, Indiana. Graduated from Illinois College of Optometry at Chicago in 2019, 7 years ago. Practices with Aeg Indiana Professional PC, a 31-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Illinois College of Optometry at Chicago
Licensed in
IN
In the registry since
2019
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

2878 Miller Dr
Plymouth, IN 46563-8094
Phone: (574) 935-3937
Fax: (574) 936-4942
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 18004186A (IN)

Record details

NPI number1033763016
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 29, 2019
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2019 (7 years in practice)
Group practice Aeg Indiana Professional Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth