Organization
ROBERT T CLARK MD PC
Active
Organization
ROBERT T CLARK MD PC
Active
Other names
Clark Tait Eye Center, Clark Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THOMAS CLARK MD (PRESIDENT)
(810) 844-7744
Entity
Organization
Contact information
Practice address
7575 GRAND RIVER RD, SUITE 111, BRIGHTON, MI 48114-9309
(810) 844-7744
(810) 844-7725
Mailing address
7575 WEST GRAND RIVER, SUITE 111, BRIGHTON, MI 48114-9390
(810) 844-7744
(810) 844-7725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301040778
MI
332H00000X
Eyewear Supplier
4301040778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297200001
DME SUPPLIER
MI
01
—
0D710210
GRP # BCBS
MI
05
—
102681557
—
MI
Enumeration date
12/28/2006
Last updated
06/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up