Promontory Vision Partners
NPI 1013187822ActiveOrganization· Optometrist· Clinton, UT
Optometrist in Clinton, Utah, registered in NPPES in March 2008, part of Promontory Vision Partners. The authorized official on file is Clark Fielden, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013187822 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Promontory Vision Partners |
| NPI issued | Mar 7, 2008 |
| Last updated in NPPES | Dec 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 5704014-9934 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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