1386648087 Robert Thomas Clark, M.D.

Ophthalmology Physician

Reactivated

Basic Information

Full Name
Robert Thomas Clark, M.D.
Gender
Male
Enumeration Date
June 9, 2005
Last Update
July 16, 2008
Deactivation Date
March 15, 2006
Reactivation Date
March 28, 2006

Practice Location

Address
7575 GRAND RIVER RD
STE 111
BRIGHTON, MI 481149390
Phone
(810) 844-7744
Fax
(810) 844-7725

Mailing Address

Address
1252 HIDDEN LAKE DR
BLOOMFIELD, MI 483021955
Phone
(248) 258-1967
Fax
(248) 258-5868

Specialties & Taxonomies

Specialty Code Classification License State Primary
Ophthalmology Physician
207W00000X Ophthalmology 4301040778 MI Primary
Optometrist
152W00000X Optometrist 4301040778 MI No

Other Identifiers

Identifier Type State Issuer
RC040778 01 MI BCBS REFERRING
1804701481 01 MI BCBS INDIV PIN
4301040778 01 MI STATE LICENSE
2681557 05 MI N/A
900D710610 01 MI BCBSM OPTOMETRIC GROUP

Frequently Asked Questions

What is Robert Thomas Clark, M.D.'s NPI number?
Robert Thomas Clark, M.D.'s NPI number is 1386648087.
Which doctor has NPI number 1386648087?
The doctor with NPI number 1386648087 is Robert Thomas Clark, M.D..
What is Robert Thomas Clark, M.D.'s practice address?
Robert Thomas Clark, M.D.'s practice address is 7575 GRAND RIVER RD, STE 111, BRIGHTON, MI, 481149390.
Which doctor practices at 7575 GRAND RIVER RD, STE 111, BRIGHTON, MI, 481149390?
Robert Thomas Clark, M.D. practices at 7575 GRAND RIVER RD, STE 111, BRIGHTON, MI, 481149390.
What is Robert Thomas Clark, M.D.'s mailing address?
Robert Thomas Clark, M.D.'s mailing address is 1252 HIDDEN LAKE DR, BLOOMFIELD, MI, 483021955.
What is Robert Thomas Clark, M.D.'s phone number?
Robert Thomas Clark, M.D.'s phone number is (810) 844-7744.
Who is (810) 844-7744?
(810) 844-7744 is the phone number for Robert Thomas Clark, M.D..
What is Robert Thomas Clark, M.D.'s specialty?
Robert Thomas Clark, M.D.'s specialty is Ophthalmology Physician.
What type of doctor is Robert Thomas Clark, M.D.?
Robert Thomas Clark, M.D. is a Ophthalmology Physician.
Is Robert Thomas Clark, M.D. a Ophthalmology?
Yes, Robert Thomas Clark, M.D. is a Ophthalmology.
Is Robert Thomas Clark, M.D. still practicing?
Yes, Robert Thomas Clark, M.D. has reactivated their practice and is currently practicing.
Is Robert Thomas Clark, M.D. accepting new patients?
Robert Thomas Clark, M.D. may be accepting new patients. Please call their office at (810) 844-7744 to inquire about availability.
Is NPI 1386648087 still active?
Yes, NPI 1386648087 has been reactivated and is currently active.
Where does Robert Thomas Clark, M.D. practice?
Robert Thomas Clark, M.D. practices in BRIGHTON, MI.
Is Robert Thomas Clark, M.D. a male or female doctor?
Robert Thomas Clark, M.D. is a male doctor.