Search › Michigan › 152W00000X
Jessica Clark, O.D
NPI 1801151113 · on the registry since 2012
Practice
- Address
- 27604 Middlebelt Rd
Farmington Hills, MI 48334 - Phone
- (248) 615-0652
- Fax
- (248) 615-1297
- Organisation at this address
- Rx Optical Laboratories, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- OH, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan