SUNDANCE OPTICAL CLINIC INC
NPI 1629786397
Eyewear Supplier in Phoenix, AZ

Q: What is Sundance Optical Clinic Inc's NPI number?

The NPI number for Sundance Optical Clinic Inc is 1629786397. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider was formerly known as Sundance Optical.

Q: What is Sundance Optical Clinic Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since November 10, 2022

4201 N 16TH ST STE 160, PHOENIX, AZ 85016(602) 277-5007(602) 279-0557 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Sundance Optical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNDANCE OPTICAL CLINIC INC (NPI 1629786397), doing business as Sundance Optical, is a healthcare organization registered as an eyewear supplier in Phoenix, Arizona and active in the NPI registry since November 2022. The organization lists Philip Kieran Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1629786397

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSUNDANCE OPTICAL CLINIC INC

Location Address4201 N 16TH ST STE 160Phoenix, AZ 85016-5348

Mailing Address4201 N 16th St Ste 160Phoenix, AZ 85016-5348 · (602) 277-5007 · Fax (602) 279-0557

Phone(602) 277-5007

Fax(602) 279-0557

Organization SubpartNo

Authorized OfficialPhilip Kieran ClarkOwner · (602) 277-5007

Enumeration DateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1629786397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

4201 N 16TH ST STE 160, Phoenix, AZ 85016

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Other Names 1

Former Legal Business NameSundance Optical

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY HOWARD GREENE

Optometrist

4201 N 16TH ST STE 160
PHOENIX, AZ 85016

Maricopa County (602) 277-5007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sundance Optical Clinic Inc's NPI number?

The NPI number for Sundance Optical Clinic Inc is 1629786397. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider was formerly known as Sundance Optical.

Where is Sundance Optical Clinic Inc located?

Sundance Optical Clinic Inc is located at 4201 N 16th St Ste 160, Phoenix, AZ 85016. The listed phone number is (602) 277-5007.

What is Sundance Optical Clinic Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Sundance Optical Clinic Inc was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.