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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP CLARK, LDO

Active Sole Proprietor

PHILIP CLARK, LDO is a Optician, Dispensing healthcare provider located in PHOENIX, Arizona. NPI 1295142362 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · PHOENIX, AZ

Registration Details

NPI Number
1295142362
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2014 (12.030692625079 yrs)
Last Updated
Jul 21, 2014
License
417 (AZ)
Sole Proprietor
Yes

Practice Information

Address
4201 N 16TH ST
160
PHOENIX, AZ, 850165347
Browse AZ providers · Browse ZIP 85016
Phone
6022775007
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in PHOENIX, AZ

Name Credential NPI
MR. SHERWIN MARK STRADLING OPTICIAN 1164636858
MR. DAN HORVATH OPTICIAN 1114107059
MS. TAMMERA LYNN MITCHELL 1588817449
LYN M KARBERG 1073766937
MR. EMMETT DOWNING LDO 1326517665
MR. THOMAS LIBERT 1518627215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.