Clark, Thomas Edward

Clark, Thomas Edward is an individual health care provider with primary practice located at 3672 W South Jordan Pkwy Ste 103 , South Jordan UT 84009-7172. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Clark, Thomas Edward can be contacted via phone (801) 810-1060.

Contact Information

Primary practice address
3672 W South Jordan Pkwy Ste 103 South Jordan UT 84009-7172
Phone: (801) 810-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 11777686-9934 Utah
Eye and Vision Services Providers / Sports Vision 152WS0006X 11777686-9934 Utah
Eye and Vision Services Providers / Vision Therapy 152WV0400X 11777686-9934 Utah
Eye and Vision Services Providers / Optometrist 152W00000X 11777686-9934 Utah

Profile Details

NPI number 1669096020
LBN Legal business name Clark, Thomas Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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