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

Thomas Edward Clark, OD

Individual provider Pediatric Optometrist · NPI 1669096020

Thomas Edward Clark, OD is an Optometry in South Jordan, Utah. Qualified in 2020, 6 years ago. Practices with Utah Vision Development Center, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
Specialties on file
4
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

3672 W South Jordan Pkwy Ste 103
South Jordan, UT 84009-7172
Phone: (801) 810-1060
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11777686-9934 (UT)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 11777686-9934 (UT)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence 11777686-9934 (UT)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 11777686-9934 (UT)

Record details

NPI number1669096020
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address458 E 200 N, Pleasant Grove, UT 84062-2821

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Utah Vision Development Center, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount