| Thomas James Earl Clark, MD | |
|
925 N 87th St, Milwaukee, WI 53226 | |
| (414) 456-2020 | |
| (414) 456-6300 |
| Full Name | Thomas James Earl Clark |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 11 Years |
| Location | 925 N 87th St, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144632183 | NPI | - | NPPES |
| 1144632183 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 32120 (Nebraska) | Secondary |
| 207W00000X | Ophthalmology | 68627 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bryan Medical Center | Lincoln, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Surgical Associates Llc | 4082695721 | 11 |
| Entity Name | Eye Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417952995 PECOS PAC ID: 4082695721 Enrollment ID: O20040527000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas James Earl Clark, MD 925 N 87th St, Milwaukee, WI 53226-4812 Ph: (414) 456-2020 | Thomas James Earl Clark, MD 925 N 87th St, Milwaukee, WI 53226 Ph: (414) 456-2020 |
Lincoln Shaw, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226 Phone: 773-702-3937 | |
Jay A. Met, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, #350, Milwaukee, WI 53226 Phone: 414-777-0110 | |
Jane Marie Collis-geers, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2906 S 20th St, Milwaukee, WI 53215 Phone: 414-672-1353 Fax: 414-385-7552 | |
Jacquelyn Laplant, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Carleigh Nicole Bruce, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-7840 | |
Malcolm Madison Kates, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Meisha Raven, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-3323 |