CLARK TAIT EYE CENTER – NPI #1821154667
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.

CLARK TAIT EYE CENTER is an ophthalmologist located in BRIGHTON, MI. NPPES has assigned the NPI number 1821154667 to CLARK TAIT EYE CENTER on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARK TAIT EYE CENTER” is a dba name, the actual legal business name for this organization is ROBERT T CLARK MD PC. This provider is also associated with 2 additional names listed below. 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 5 years ago on Jun 15, 2021. 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 CLARK TAIT EYE CENTER below.

NPI Profile for
ROBERT T CLARK MD PC

NPI Number
1821154667
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROBERT T CLARK MD PC
Doing Business As (dba): CLARK TAIT EYE CENTER
Other name(s)
All associated names:
Doing Business As (dba)
Clark Eye Center
Doing Business As (dba)
Clark Tait Eye Center
Primary location
7575 GRAND RIVER RD
SUITE 111
BRIGHTON, MI 48114-9309
Phone: (810) 844-7744 Fax: (810) 844-7725
Mailing address
7575 WEST GRAND RIVER
SUITE 111
BRIGHTON, MI 48114-9390
Phone: (810) 844-7744 Fax: (810) 844-7725
Organization Subpart
No
Authorized Official
ROBERT CLARK
PRESIDENT
Phone: (810) 844-7744
Updated
Certification Date
Jun 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLARK TAIT EYE CENTER

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.

DescriptionIssuerStateIdentifier
OTHERDME SUPPLIERMI0297200001
OTHERGRP # BCBSMI0D710210
MEDICAIDMI102681557
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
332H00000X
- Eyewear Supplier
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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DR CLARK DIRECT EMAIL ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
7575 GRAND RIVER RD,
BRIGHTON, MI 77025-1669