Robert Thomas Clark in Brighton - Ophthalmology

Robert Thomas Clark - NPI 1386648087

Robert Thomas Clark is a Ophthalmology in Brighton, Michigan. Robert Thomas Clark practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Robert Thomas Clark is 1386648087. The last update date is 2008-07-16.

Robert Thomas Clark's current location address is 7575 Grand River Rd, Brighton, Michigan. You can contact this provider via phone number 8108447744 and fax number 8108447725. The mailing address for Robert Thomas Clark is 7575 Grand River Rd, Brighton, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Thomas Clark
Address 7575 Grand River Rd, Brighton, Michigan
Phone Number 8108447744
Fax Number 8108447725
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1386648087
Provider Enumeration Date 2005-06-09
Last Updated Date 2008-07-16

Provider Mailing Address Detail

Address 7575 Grand River Rd
City Brighton
State Michigan (MI)
Post Code 4811493900
Phone Number 8108447744
Fax Number 8108447725

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 4301040778
Definition:
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 incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RC040778 MI BCBS REFERRING
1804701481 MI BCBS INDIV PIN
4301040778 MI STATE LICENSE
2681557 MI --
900D710610 MI BCBSM OPTOMETRIC GROUP

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FAQs about Robert Thomas Clark

What is the unique identification code assigned to Robert Thomas Clark by the Centers for Medicare & Medicaid Services?

The Robert Thomas Clark has been issued the NPI (National Provider Identifier) 1386648087. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert Thomas Clark's facilities are geographically located?

The facilities of Robert Thomas Clark are physically situated at the following location: 7575 Grand River Rd, Brighton, MI, 4811493900.

What is Robert Thomas Clark's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert Thomas Clark's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.

When did the Robert Thomas Clark receive its 1386648087?

The Robert Thomas Clark was issued its 1386648087 on 2005-06-09, which is the date when the organization was assigned this unique identifier.

As of what date were the Robert Thomas Clark's details last updated?

The information pertaining to the Robert Thomas Clark, including its address, specialty, and other details, was most recently updated on 2008-07-16.

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