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Active NPI 1669096020 Individual Practitioner Male Practitioner

Dr. Thomas Edward Clark , OD

Optometrist • South Jordan, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Clark, OD is a certified Optometrist practicing in South Jordan, UT. With approximately 6 years of clinical experience since completing medical education in 2020, Dr. Clark delivers high-quality medical care to the local community at 3672 W SOUTH JORDAN PKWY STE 103.

Dr. Clark is affiliated with Utah Vision Development Center, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3672 W South Jordan Pkwy Ste 103

South Jordan, UT 840097172

Telephone 8018101060
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in South Jordan, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -7.8 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
15 Specialists

Practicing in South Jordan, UT (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (6 Years) 6 Yrs
South Jordan Specialty Average (13.8 Years) 13.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $88.00 $87.12

Medical Specialties & State Licenses

CMS Verified: 2020-06-02
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 11777686-9934

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.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License UT 11777686-9934

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Optometrist - Sports Vision

NUCC Taxonomy Code: 152WS0006X

State License UT 11777686-9934

An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.

Optometrist - Vision Therapy

NUCC Taxonomy Code: 152WV0400X

State License UT 11777686-9934

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

Hospital & Practice Group Affiliations

Utah Vision Development Center, Llc

12523 S Pasture Rd, Riverton, UT 840964840

Phone: 8018101060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861621864

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2020

Registered at 3672 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 840097172 (Tel: 8018101060)

📍
Updated Business Mailing Address June 02, 2020

Registered at 458 E 200 N, PLEASANT GROVE, UT 840622821 (Tel: 3854397172)

👤
Provider Name / Credentials Updated June 02, 2020

Recorded as THOMAS CLARK, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2020

Optometrist (License #11777686-9934 in UT)

🟢
Initial NPI Registration & Enumeration June 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669096020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2020
Last Update: June 02, 2020
Sole Proprietor: No

Mailing Address

458 E 200 N

Pleasant Grove, UT 840622821

Phone: 3854397172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.