ROBERT T. CLARK M.D. – NPI #1386648087
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.

ROBERT CLARK is an ophthalmologist located in BRIGHTON, MI. NPPES has assigned the NPI number 1386648087 to ROBERT CLARK on June 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 18 years ago on Jul 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT CLARK below.

NPI Profile for
ROBERT T. CLARK

NPI Number
1386648087
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT T. CLARK
Credentials
M.D.
Primary location
7575 GRAND RIVER RD
STE 111
BRIGHTON, MI 48114-9390
Phone: (810) 844-7744 Fax: (810) 844-7725
Mailing address
1252 HIDDEN LAKE DR
BLOOMFIELD, MI 48302-1955
Phone: (248) 258-1967 Fax: (248) 258-5868
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for ROBERT CLARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS INDIV PINMI1804701481
OTHERBCBS REFERRINGMIRC040778
OTHERBCBSM OPTOMETRIC GROUPMI900D710610
OTHERSTATE LICENSEMI4301040778
MEDICAIDMI2681557
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
MI 4301040778
152W00000X
- Optometrist
MI 4301040778

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Affiliations
ROBERT CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
      620 BYRON RD
      HOWELL, MI 48843

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