Douglas Robert Clark, OD is a medicare enrolled "Optometrist" provider in Salem, Utah. His current practice location is
446 N State Road 198, Salem, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 368-5987.
Douglas Robert Clark is licensed to practice in Utah (license number 9844583-9934) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487008603.
Healthcare Provider's Profile
Full Name | Douglas Robert Clark |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 446 N State Road 198, Salem, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Douglas Robert Clark attended and graduated from in
NPI Data:
- NPI Number: 1487008603
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 05/22/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Douglas Robert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487008603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 9844583-9934 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Robert Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Douglas Robert Clark, OD 446 N State Road 198, Salem, UT 84653-4605 Ph: () - | Douglas Robert Clark, OD 446 N State Road 198, Salem, UT 84653 Ph: (801) 368-5987 |
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