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

Michael Clark, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1558858464

Michael Clark, OD is an Optometry in Brigham City, Utah. Qualified in 2018, 8 years ago. Practices with Promontory Vision Partners, a 4-clinician group and works from 2 locations. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

990 Medical Dr Ste G3
Brigham City, UT 84302
Phone: (435) 374-2097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2850 N 2000 W Ste 202, Farr West, UT 84404-9230 — (801) 731-6326

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10841920-9934 (UT)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 10841920-9934 (UT)

Record details

NPI number1558858464
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESJune 4, 2018
Mailing address990 Medical Dr Ste G3, Brigham City, UT 84302-3077

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Promontory Vision Partners — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare