Robert Joseph Clark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003269 Issued in MI

Practice address

2861 S Rochester Rd
Rochester Hills, MI 48307-4579

Phone

(248) 852-5230

Fax

(248) 852-2561

NPI assigned

Dec 4, 2006

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890
  Medicare reassignment Care Compare group
• Pearle Vision Inc

  • Optometrist
  • New Hudson, MI
  • NPI 1891840682
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Rochester Hills, MI
  • NPI 1770953390
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1942670567
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1205904497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 WOOD TRL",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716066",
            "telephone_number": "248-814-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074579",
            "telephone_number": "248-852-5230",
            "fax_number": "248-852-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Patrick Ciarlone, D.O.
• City of Rochester Hills
• Abi Clark
• Adalyn L Clark
• Efia Teray Clark, LMT
• Stacie Clark, M.D.
• Emma Marie Claucherty
• Hailie Clawson, MA, LLC, ATR
• Monika Clay, AGPCNP-C
• Christy Clement, LPC

• Optometrist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.