Jessica A Clark is a Farmington Hills, Michigan based female Optometrist who is specialized in Optometry. Active license number of Jessica A Clark is 4901004816 for Optometry in Michigan. Jessica A Clark examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jessica A Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
27604 Middlebelt Rd, Farmington Hills, Michigan, 48334-5001
Phone:
248-615-0652
Fax:
248-615-1297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1801151113
NPI Enumeration Date:
12 Jul, 2012
NPI Last Update On:
01 Dec, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica A Clark are as mentioned below.
License Number
Specialization
State
Status
4901004816
Optometry
Michigan
Primary
6115
Optometry
Ohio
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jessica A Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1801151113
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1700 S Park St, Kalamazoo, Michigan
Zip:
49001-2779
Phone Number:
269-342-0003
Fax Number:
269-342-4284
Patients can reach Jessica A Clark at 27604 Middlebelt Rd, Farmington Hills, Michigan or can call to book an appointment on 248-615-0652. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.