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Thomas Edward Clark

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NPI Number Detailed Information

Provider Information:

Name: Thomas Edward Clark
Gender: M
Provider License Number If Given: 11777686-9934

NPI Information:

NPI: 1669096020
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/2/2020

Last Update Date: 6/2/2020

Provider Business Mailing Address:

Address: 458 E 200 N
Pleasant Grove, UT 84062
Phone Number: 3854397172
Fax Number:

Provider Business Practice Location Address:

Address: 3672 W SOUTH JORDAN PKWY STE 103
South Jordan, UT 84009
Phone Number: 8018101060
Fax Number:

Provider Taxonomy:

Primary: 152WP0200X
Secondary (if any): 152WS0006X
State: UT

Top Doctors in UT

 

About Thomas Edward Clark

Thomas Edward Clark ( THOMAS EDWARD CLARK ) is Optometrists Optometrist Physician in South Jordan, UT. The NPI Number for Thomas Edward Clark is 1669096020.
The current location address for Thomas Edward Clark is 3672 W SOUTH JORDAN PKWY STE 103 South Jordan, UT 84009 and the contact number is 3854397172 and fax number is . The mailing address for Thomas Edward Clark is 458 E 200 N Pleasant Grove, UT 84062- 8018101060 (mailing address contact number - 3854397172).
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider Business Location on Map

FAQs:

What is the NPI Number for Thomas Edward Clark ?


Answer: The NPI Number for Thomas Edward Clark is 1669096020

Where is Thomas Edward Clark located?


Answer: Thomas Edward Clark is located at 3672 W SOUTH JORDAN PKWY STE 103 South Jordan, UT 84009.

What is the specialty for Thomas Edward Clark ?


Answer: The Specialty of Thomas Edward Clark is Optometrists Optometrist Physician.

Are there any online reviews for Thomas Edward Clark ?


Answer: Not yet!

Are there any other health care providers in South Jordan, UT?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Thomas Edward Clark

Number of HCPCS 9
Number of Medicare Beneficiaries 19
Number of Services 21
Total Submitted Charge Amount 2173
Total Medicare Allowed Amount 2133.48
Total Medicare Payment Amount 1591.05
Total Medicare Standardized Payment Amount 1724.29
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 9
Number of Medicare Beneficiaries With Medical 19
Number of Medical Services 21
Total Medical Submitted Charge Amount 2173
Total Medical Medicare Allowed Amount 2133.48
Total Medical Medicare Payment Amount 1591.05
Total Medical Medicare Standardized Payment Amount 1724.29
Average Age of Beneficiaries 77
Number of Beneficiaries Age Less 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.2364

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Thomas Edward Clark in Other Directories

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