DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT THOMAS CLARK, M.D.

Deactivated Sole Proprietor

Ophthalmology · BRIGHTON, MI

This NPI has been deactivated. The record was deactivated on March 15, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1386648087
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2005 (0.76438356164384 yrs)
Last Updated
Jul 16, 2008
Deactivated
Mar 15, 2006
Licenses
4301040778 (MI)
4301040778 (MI)
Sole Proprietor
Yes

Practice Information

Address
7575 GRAND RIVER RD
STE 111
BRIGHTON, MI, 481149390
Browse MI providers · Browse ZIP 48114
Phone
8108447744
Fax
8108447725
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Optometrist

Other Ophthalmology Providers in BRIGHTON, MI

Name Credential NPI
DR. STEPHEN M TAIT MD PHD 1376534164
DR. HOLLY STEMEN HOLM M.D. 1114989035
DR. MICHELLE MARIE VERPLANCK D.O. 1205870896
THERESA M. COONEY MD 1669480356
ERIKA MEG LEVIN MD 1750399457
MATTHEW ALLEN MCKEE MD 1326205089
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.