| NPI | 1821154667 |
|---|---|
| Doing Business As | CLARK TAIT EYE CENTER |
| Doing Business As | CLARK EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS CLARK President 810-844-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301040778) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4301040778) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-06-15 |