Promontory Vision Partners

NPI #1013187822 in Clinton, Utah

Provider Information

NPI Number: 1013187822
Entity Type: Organization
Organization Name: Promontory Vision Partners
Subpart: Yes (part of a larger organization)
Parent Organization: PROMONTORY VISION PARTNERS
Primary Specialty: Optometrist
Enumeration Date: Mar 7, 2008
Last Updated: Dec 14, 2015

Practice Location

Address: 1448 N 2000 W
Address 2: SUITE 12
City: Clinton
State: Utah
ZIP Code: 84015-8377
Phone: (801) 779-0708

Authorized Official

Name: DR. CLARK FIELDEN, O.D.
Title: PRESIDENT
Phone: (801) 779-0708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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