Clark Edward Fielden, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5704014-8904 Issued in UT

Practice address

2028 W 2220 N
Clinton, UT 84015-5744

Phone

(801) 779-0708

NPI assigned

Jan 3, 2006

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Promontory Vision PartnersGroup PAC ID 3375602790, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clark.fielden@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promontory Vision Partners

  dba Clinton Family Vision

  • Optometrist
  • Clinton, UT
  • NPI 1013187822
  Medicare reassignment Care Compare group Authorized official
• Brice J. Williams, M.D., P.C.

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1437416500
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1457339285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 W 2220 N",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840155744",
            "telephone_number": "801-779-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W 2220 N",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840155744",
            "telephone_number": "801-779-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDEN",
        "first_name": "CLARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5704014-8904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna Catherine Emmerling, PA-C
• Daniel Epperson, DMD
• Vanessa Escobar
• Jaci Faulkner
• Jacob Felsch
• Christopher Fierro, D.C.
• Kurt T Flinders, D.O.
• Mark Alan Flinders, PT ATC
• Tanya Marie Forsyth
• Robin G Friis Johnson

• Optometrist in Clinton, UT
• Providers in Clinton, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.