Robert Thomas Clark, MD is a
Ophthalmology based in Brighton, Michigan. Robert Thomas Clark is licensed to practice in Michigan (license number 4301040778) and his current practice location is
7575 Grand River Rd, Ste 111, Brighton, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 844-7744.
NPI number for Robert Thomas Clark is 1386648087 and his current mailing address is 1252 Hidden Lake Dr, Bloomfield, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386648087.
Healthcare Provider's Profile
| Full Name | Robert Thomas Clark |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 7575 Grand River Rd, Brighton, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386648087
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 07/16/2008
Medical Identifiers
Medical identifiers for Robert Thomas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386648087 | NPI | - | NPPES |
| 900D710610 | Other | MI | BCBSM OPTOMETRIC GROUP |
| 4301040778 | Other | MI | STATE LICENSE |
| RC040778 | Other | MI | BCBS REFERRING |
| 1804701481 | Other | MI | BCBS INDIV PIN |
| 2681557 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 4301040778 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301040778 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Thomas Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Robert Thomas Clark, MD 1252 Hidden Lake Dr, Bloomfield, MI 48302-1955 Ph: (248) 258-1967 | Robert Thomas Clark, MD 7575 Grand River Rd, Ste 111, Brighton, MI 48114-9390 Ph: (810) 844-7744 |
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