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ROBERT T CLARK MD PC NPI 1821154667


NPI Information

NPI: 1821154667
Provider Name: ROBERT T CLARK MD PC

Doing Business As: CLARK TAIT EYE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
7575 GRAND RIVER RD
SUITE 111
BRIGHTON, MI
ZIP 48114
Phone: (810) 844-7744
Get Directions

ROBERT T CLARK MD PC is an ophthalmology in Brighton, MI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ROBERT T CLARK MD PC NPI is 1821154667. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clark Tait Eye Center.

The provider's business location address is:

7575 GRAND RIVER RD
SUITE 111
BRIGHTON, MI
ZIP 48114-309
Phone: (810) 844-7744
Fax: (810) 844-7725

The provider's authorized official is Robert Thomas Clark .
The authorized official title is President and has the following contact phone number (810) 844-7744.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 6/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology4301040778MICHIGANYes
2332H00000XEyewear Supplier4301040778MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10297200001OTHERMICHIGANDME SUPPLIER
20D710210OTHERMICHIGANGRP # BCBS
3102681557MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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