National Provider Identifier Database

ROBERT T CLARK MD PC
Ophthalmology

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.


Contact Information

ROBERT T CLARK MD PC
7575 GRAND RIVER RD
SUITE 111
BRIGHTON, MI48114-9309
Phone: 810-844-7744
Fax: 810-844-7725
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for ROBERT T CLARK MD PC

NPI Number 1821154667
Legal business name
LBN
ROBERT T CLARK MD PC
Authorized official ROBERT CLARK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/28/2006
Last updated 06/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301040778
  • MI Medicaid: 102681557
  • MI Other: 0297200001 DME SUPPLIER
  • MI Other: 0D710210 GRP # BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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