Clark, Jessica A
Clark, Jessica A is an individual health care provider with primary practice located at 27604 Middlebelt Rd , Farmington Hills MI 48334-5001. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Clark, Jessica A can be contacted via phone (248) 615-0652.Contact Information
Primary practice address
27604 Middlebelt Rd
Farmington Hills MI 48334-5001
Phone: (248) 615-0652
Fax: (248) 615-1297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6115 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004816 | Michigan |
Profile Details
| NPI number | 1801151113 |
|---|---|
| LBN Legal business name | Clark, Jessica A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2012 |
| Last updated | Dec 1st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801151113 | NPPES |
| Michigan | MEDICAID | 1801151113 |
Popular Providers
-
Wilson, Roy A
31114 Haggerty Rd , Farmington Hills MI 48331-5803 -
Demercurio, Rrudolph Sam
30660 W 12 Mile Rd , Farmington Hills MI 48334-3808 -
Mcgrath, Michael C
31553 W 10 Mile Rd , Farmington MI 48336-2503 -
Cyriac, Ashly
21625 Green Hill Rd , Farmington Hills MI 48335 -
Bloch, Michael Joshua
29325 Orchard Lake Rd. , Farmington Hills MI 48334 -
Schrauben, Jeffrey D
28501 Orchard Lake Rd Ste 120, Farmington Hills MI 48334-2951 -
Bowen, Amber
27777 Inkster Rd Ste 100 , Farmington Hills MI 48334-5312 -
Narula, Monica
32625 Northwestern Hwy , Farmington Hills MI 48334-1449