THOMAS EDWARD CLARK

SOUTH JORDAN, UT
NPI1669096020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  11777686-9934)
Additional Taxonomies152WP0200X Optometrist, Pediatrics
(Licence: UT  11777686-9934)
152WS0006X Optometrist, Sports Vision
(Licence: UT  11777686-9934)
152WV0400X Optometrist, Vision Therapy
(Licence: UT  11777686-9934)
Enumeration Date2020-06-02
Last Update Date2020-06-02
Business Address
THOMAS EDWARD CLARK OD
3672 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84009-7172
Phone number: 801-810-1060
Mailing Address
THOMAS EDWARD CLARK OD
458 E 200 N
PLEASANT GROVE, UT 84062-2821
Phone number: 385-439-7172