PHILIP CLARK (NPI# 1295142362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295142362 |
| Entity Type | Individual |
| Full Name | PHILIP CLARK |
| Credential | LDO |
| Practice Address |
4201 N 16th St 160 Phoenix AZ 85016-5347 |
| Practice Telephone | 6022775007 |
| Mailing Telephone | 6022775007 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
417 | AZ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184889677 | Philip R Clark | Hearing Instrument Specialist | 29 College Rd Ste 6, Fairbanks, AK 99701-1739 | 2008-07-23 |
| 1316026669 | Philip K Clark | Dentist | 1590 Island Ln Ste 12, Orange Park, FL 32003-4408 | 2006-11-06 |
| 1417031006 | Philip E Clark | Dentist | 2002 Maine, Quincy, IL 62301 | 2006-10-24 |
| 1720374416 | Philip Hone Clark | Counselor | 2000 Hidden Canyon Parkway, Baker, NV 89311 | 2011-06-22 |
| 1548221013 | Philip H Clark | Optometrist | 302 N Phoenix Ave, Russellville, AR 72801-2828 | 2006-03-31 |
| 1629040183 | Philip Richard Clark | Dentist | 5929 Evergreen Way, Suite 100, Everett, WA 98203-6031 | 2006-02-07 |
| Street Address |
4201 N 16TH ST 160 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437195906 | National Council On Alcoholism Greater Phoenix Area | Clinic/Center | 4201 N 16th St, Suite 140, Phoenix, AZ 85016-5347 | 2006-06-21 |
| 1568817955 | Sundance Optical | Eyewear Supplier (Equipment, not the service) | 4201 N 16th St, Ste 160, Phoenix, AZ 85016-5347 | 2016-05-04 |
| 1972938397 | Matthew S Moffat | Counselor | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2013-09-04 |
| 1235564683 | Pallavi Lal | Counselor | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2013-09-04 |
| 1639427719 | Jamie Johnson | Social Worker | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2012-08-21 |
| 1992053078 | Lisa Foster | Counselor | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2012-08-21 |
| 1457623852 | Shanon B Engel | Counselor | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2012-01-31 |
| 1356652010 | Marisa Switzer Lombardi | Counselor | 4201 N 16th St, Phoenix, AZ 85016-5347 | 2010-06-28 |
| 1760715064 | Jennifer Lynn Denkers | Counselor | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2009-09-17 |
| 1073747770 | Lori Brady | Counselor | 4201 N 16th St, Suite 250, Phoenix, AZ 85016-5347 | 2009-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608631 | National Vision Inc | Technician/Technologist | 4320 E Cactus Rd, Phoenix, AZ 85032-7636 | 2018-08-07 |
| 1033695978 | National Vision Inc | Technician/Technologist | 2651 N 44th St Ste 2, Phoenix, AZ 85008-1574 | 2018-07-13 |
| 1093202483 | Nationwide Vision Center, LLC | Technician/Technologist | 2222 E Camelback Rd Ste 250p, Phoenix, AZ 85016-3427 | 2018-04-20 |
| 1912380874 | National Vision, Inc. | Technician/Technologist | 3405 W Thunderbird Rd, Ste 5, Phoenix, AZ 85053-5699 | 2015-07-09 |
| 1356721104 | National Vision, Inc. | Technician/Technologist | 4625 E Ray Rd, Phoenix, AZ 85044-6229 | 2015-06-08 |
| 1821419979 | Dementre Holmes | Technician/Technologist | 600 W Dunlap Ave, Phoenix, AZ 85021-3527 | 2013-12-16 |
| 1578792305 | Nationwide Vision Center, LLC | Technician/Technologist | 2222 E Camelback Rd Ste 250m, Phoenix, AZ 85016-3427 | 2009-07-14 |
| 1770795775 | Lions Vision Center | Technician/Technologist | 1016 N 32nd Street Suite 2, Phoenix, AZ 85326 | 2007-05-04 |
| 1275696361 | Wal-mart Stores, Inc. | Technician/Technologist | 6150 S 35th Ave, Phoenix, AZ 85041-5004 | 2006-12-19 |
| 1629140264 | Nationwide Vision Center, LLC | Technician/Technologist | 1650 E Camelback Rd, #160, Phoenix, AZ 85016-3941 | 2006-11-15 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.