Sundance Optical Clinic Inc
Sundance Optical Clinic Inc is a healthcare organization registered as Eyewear Supplier in Phoenix, AZ, holding Type 2 (organization) NPI 1629786397 since 2022. The authorized official on file is Philip Clark, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629786397 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sundance Optical Clinic Inc |
| Practice address | 4201 N 16TH ST STE 160, Phoenix, AZ, 85016 |
| Phone | 6022775007 |
| Fax | 6022790557 |
| Enumeration date | 2022-11-10 |
| Last updated in NPPES | 2022-11-10 |
Authorized official
| Name | Philip Clark |
|---|---|
| Title | Owner |
| Phone | 6022775007 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | — |
Copy-ready billing details
Provider: Sundance Optical Clinic Inc NPI: 1629786397 Taxonomy: 332H00000X (Eyewear Supplier) Address: 4201 N 16TH ST STE 160, Phoenix, AZ, 85016
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942895461 | Gary Howard Greene | Organization | Optometrist | Phoenix, AZ |
Verify this record
Cross-check NPI 1629786397 against the authoritative CMS record: view Sundance Optical Clinic Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Sundance Optical Clinic Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-10.