SUNDANCE OPTICAL CLINIC INC is an eyewear supplier in Phoenix, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SUNDANCE OPTICAL CLINIC INC NPI is 1629786397. The provider is registered as an organization entity type.
The provider's business location address is:
4201 N 16TH ST STE 160 PHOENIX, AZ ZIP 85016-348 Phone: (602) 277-5007 Fax: (602) 279-0557
The provider's authorized official is Philip Kieran Clark . The authorized official title is Owner and has the following contact phone number (602) 277-5007.
The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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