Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS ROBERT CLARK, O.D.
Active Sole ProprietorDOUGLAS ROBERT CLARK, O.D. is a Optometrist healthcare provider located in SALEM, Utah. NPI 1487008603 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SALEM, UT
Registration Details
- NPI Number
- 1487008603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2016 (10.306288700103 yrs)
- Last Updated
- May 22, 2019
- License
-
9844583-9934 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
446 N STATE ROAD 198SALEM, UT, 84653Browse UT providers · Browse ZIP 84653
- Phone
- 8013685987
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.