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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 9844583-9934 | UT | Eye and Vision Services Providers |
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 |
Street Address |
446 N STATE ROAD 198 |
City | SALEM |
State | UT |
Zip Code | 84653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831756055 | Salem Hills Family Eyecare LLC | Optometrist | 446 N State Road 198, Salem, UT 84653-4605 | 2019-05-22 |
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 Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
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 |
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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.