DOUGLAS ROBERT CLARK


Address: 446 N State Road 198, Salem, UT 84653
Phone: 8013685987

DOUGLAS ROBERT CLARK (NPI# 1487008603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487008603
Entity Type Individual
Full Name DOUGLAS ROBERT CLARK
Credential O.D.
Practice Address 446 N State Road 198
Salem
UT 84653
Mailing Address 446 N State Road 198
Salem
UT 84653-4605
Practice Telephone 8013685987
Enumeration Date 2016-04-14
Last Update Date 2019-05-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 9844583-9934 UT Eye and Vision Services Providers

Other Providers DOUGLAS CLARK

NPI Name Taxonomy Address Enumeration
1760735328 Douglas Lee Clark Pharmacist 9750 Highway 70, Minocqua, WI 54548-9753 2012-10-19
1821308974 Douglas Owen Clark Obstetrics & Gynecology 21010 Black Walnut Ln, A, Brookfield, WI 53045-4062 2010-10-07
1427135185 Douglas James Clark Social Worker Brockton Va Medical Center, 940 Belmont St., Brockton, MA 02301 2006-11-01
1487682498 Douglas Marley Clark Physician Assistant 2317 S Roane St, Community Care Walk In Clinic, Harriman, TN 37748-8653 2006-06-29
1326038035 Douglas A. Clark Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2005-10-25
1780688572 Douglas George Clark Internal Medicine 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 2005-06-09
1114920238 Douglas A. Clark Internal Medicine 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 2005-05-23
1528211786 Douglas Craig Clark Dentist 118 W 5th St, Covington, KY 41011-1481 2008-10-30
1568592186 Douglas E Clark Pharmacist 129 Gill St, Alcoa, TN 37701-2656 2007-03-06
1396892907 Douglas A Clark Orthopaedic Surgery 2055 E Southern Ave, Suite G, Tempe, AZ 85282-7507 2007-01-04

Office Location

Street Address 446 N STATE ROAD 198
City SALEM
State UT
Zip Code 84653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831756055 Salem Hills Family Eyecare LLC Optometrist 446 N State Road 198, Salem, UT 84653-4605 2019-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811357791 Melanie Pace Dental Hygienist 818 East 750 South, Salem, UT 84653 2016-03-04
1265773899 Bill Clifford Marshall Marriage & Family Therapist 405 S Maple Dr, Woodland Hills, UT 84653 2013-03-06
1013159995 Elder Assisted Living LLC Assisted Living Facility 1015 S 550 W, Salem, UT 84653 2009-03-24
1780884247 David Kent Hansen Dentist 204 East 400 North, Suite A, Salem, UT 84653 2007-07-23
1154524965 Justin Thomas Perry Dentist 40 South 200 West, Salem, UT 84653 2007-06-08
1013130947 John E Braithwaite Dentist 40 S 200 W, Salem, UT 84653 2007-04-10
1104972827 Salem City Corporation Ambulance 30 W 100 S, Salem, UT 84653 2007-01-26
1700989209 James Bryan Bonny Dentist 245 W State Hwy 198, Suite 6, Salem, UT 84653 2006-09-07
1578574570 Kids Who Count Day Training, Developmentally Disabled Services 345 N Sr 198, Salem, UT 84653 2006-08-11
1053305391 Gale J. Skousen Family Medicine 555 West Sr 164, Salem, UT 84653 2005-09-01
Find all providers in zip 84653

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225638463 Troy Sanfilippo Optometrist 286 Laurelwood Dr, Salem, CT 06420-3937 2020-10-27
1275024135 Rhode Island Optometrics, LLC Optometrist 42 Samoset Dr, Salem, NH 03079 2018-05-25
1003367145 Melda Nil Esendal Optometrist 116r Highland Avenue, Salem, MA 01970 2016-10-24
1073948311 Orbal Mariam Anwari Optometrist 305 Liberty St Ne, Salem, OR 97301-3519 2013-09-05
1497195648 Dr Zhu Eye Associates Optometrist 326 N Broadway, Vision Center Inside Walmart, Salem, NH 03079-2122 2013-07-02
1538429816 Eyeglass Factory Optometrist 1885 25th St Se, Salem, OR 97302-1105 2012-05-21
1851607014 Kendall Loraine Harer Mault Optometrist 116r Highland Ave Fl 2, Salem, MA 01970-2723 2010-08-26
1871738898 Julie A. Mackall Od LLC Optometrist 2400 Southeast Blvd Ste A, Salem, OH 44460-3482 2008-12-04
1598915811 Elizabeth Wolff Optometrist 400 N Broadway Ave, Salem, IL 62881-1514 2008-09-23
1851540124 Joseph Potosky Od Optometrist 93 Market St, Salem, NJ 08079-1910 2008-09-11
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 84653

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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