Robert T Clark MD PC
NPI 1821154667ActiveOrganization· Ophthalmology· Brighton, MI
Ophthalmology in Brighton, Michigan, registered in NPPES in December 2006. The authorized official on file is Robert Thomas Clark, MD, President. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1821154667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Jun 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 4301040778 | MI |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | 4301040778 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Ophthalmology (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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