Thomas Edward Clark is a South Jordan, Utah based male Pediatrics Optometrist with 4 years of experience in Optometry - Pediatrics. He completed his graduation from Other in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Thomas Edward Clark is 11777686-9934 for Optometry in Utah. Thomas Edward Clark is concerned with the prevention, development, diagnosis, and treatment of visual problems in children. He has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree with specialization in pediatrics.
Complete Profile:
Thomas Edward Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry - Pediatrics
Credentials:
OD
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2020
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3672 W South Jordan Pkwy Ste 103, South Jordan, Utah, 84009-7172
Phone:
801-810-1060
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4385060037
Enrollment ID:
I20200812002801
NPI Number:
1669096020
NPI Enumeration Date:
02 Jun, 2020
NPI Last Update On:
02 Jun, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Edward Clark are as mentioned below.
License Number
Specialization
State
Status
11777686-9934
Optometry
Utah
Primary
11777686-9934
Optometry - Pediatrics
Utah
Secondary
11777686-9934
Optometry - Sports Vision
Utah
Secondary
11777686-9934
Optometry - Vision Therapy
Utah
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Thomas Edward Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Kenneth E Hooton, O.d. (1658341953)
3
Utah Vision Development Center, Llc (8527241363)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
458 E 200 N, Pleasant Grove, Utah
Zip:
84062-2821
Phone Number:
385-439-7172
Fax Number:
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Patients can reach Thomas Edward Clark at 3672 W South Jordan Pkwy Ste 103, South Jordan, Utah or can call to book an appointment on 801-810-1060. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.