Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Philip Clark, LDO

Individual provider Optician · NPI 1295142362

Philip Clark, LDO is an Optician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014
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Practice location Address checks out

4201 N 16th St 160
Phoenix, AZ 85016-5347
Phone: (602) 277-5007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 417 (AZ)

Record details

NPI number1295142362
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedJuly 21, 2014
Last updated in NPPESJuly 21, 2014
Mailing address4201 N 16th St, 160, Phoenix, AZ 85016-5347

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