Clark Tait Eye Center

LBN: Robert T Clark Md Pc
Clark Tait Eye Center is an health care organization with primary practice located at 7575 Grand River Rd Suite 111, Brighton MI 48114-9309. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Robert T Clark Md Pc can be contacted via phone (810) 844-7744, or through Clark, Robert Thomas via phone (810) 844-7744.

Contact Information

Primary practice address
7575 Grand River Rd Suite 111 Brighton MI 48114-9309
Phone: (810) 844-7744
Fax: (810) 844-7725
Website:
Map and Directions
Authorized official contact:
Name: Clark, Robert Thomas Doctor of Medicine (MD)
Phone: (810) 844-7744

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301040778 Michigan
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 4301040778 Michigan

Profile Details

NPI number 1821154667
LBN Legal business name Robert T Clark Md Pc
DBA Doing business as Clark Tait Eye Center
Authorized official Clark, Robert Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Jun 15th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821154667 NPPES
Michigan Other 0297200001 DME SUPPLIER
Michigan MEDICAID 102681557 DME SUPPLIER
Michigan Other 0D710210 DME SUPPLIER

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