National Provider Identifier Database

MICHAEL CLARK, OD – NPI #1558858464
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.


Contact Information

MICHAEL CLARK, OD
990 MEDICAL DR STE G3
BRIGHAM CITY, UT84302
Phone: 435-374-2097
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for MICHAEL CLARK

NPI Number 1558858464
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/16/2018
Last updated 06/04/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 10841920-9934
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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