OrganizationActive
Sundance Optical Clinic Inc
NPI 1629786397 · Eyewear Supplier · Phoenix, AZ
Provider details
- NPI number
- 1629786397
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Philip Clark, Owner(602) 277-5007
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4201 N 16th St Ste 160
Phoenix, AZ 85016-5348
Phone: (602) 277-5007
Fax: (602) 279-0557
Street-level locationGet directions
Mailing address
4201 N 16th St Ste 160
Phoenix, AZ 85016-5348
Other names (DBA / former)
- Former legal business name
- Sundance Optical
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.