Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Robert Clark, OD

Individual provider Optometrist · NPI 1487008603

Douglas Robert Clark, OD is an Optometry in Salem, Utah. Graduated from Ferris State College - College of Optometry in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Trained at
Ferris State College - College of Optometry
Licensed in
UT
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

446 N State Road 198
Salem, UT 84653
Phone: (801) 368-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9844583-9934 (UT)

Record details

NPI number1487008603
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedApril 14, 2016
Last updated in NPPESMay 22, 2019
Mailing address446 N State Road 198, Salem, UT 84653-4605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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