Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Thomas Edward Clark, OD
Optometrist in South Jordan, UT · enumerated 2020.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1669096020
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Registry record
Entity type Individual (Type 1)
Name Thomas Edward Clark
Credential OD
Sex Male
Practice address 3672 W South Jordan Pkwy Ste 103, South Jordan, UT, 84009
Phone (801) 810-1060
Enumeration date Jun 2, 2020
Last updated in NPPES Jun 2, 2020
Taxonomy & licenses
152WP0200X Pediatric Optometrist Eye and Vision Services Providers · License 11777686-9934 (UT) Secondary
152WS0006X Sports Vision Optometrist Eye and Vision Services Providers · License 11777686-9934 (UT) Secondary
152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers · License 11777686-9934 (UT) Secondary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Thomas Clark?
Thomas Clark is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-02.