Regression trees are one of the oldest forms of AI models, and their predictions can be made without a calculator, which makes them broadly useful, particularly for high-stakes applications. Within the large literature on regression trees, there has been little effort towards full provable optimization, mainly due to the computational hardness of the problem. This work proposes a dynamic programming-with-bounds approach to the construction of provably-optimal sparse regression trees. We leverage a novel lower bound based on an optimal solution to the k-Means clustering algorithm on one dimensional data. We are often able to find optimal sparse trees in seconds, even for challenging datasets that involve large numbers of samples and highly-correlated features.