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Active NPI 1295142362 Individual Practitioner Male Practitioner

Philip Clark , LDO

Technician/Technologist - Optician • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Philip Clark, LDO is a registered healthcare professional specializing in Technician/Technologist - Optician in Phoenix, AZ. Practice services are available at 4201 N 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4201 N 16th St
160

Phoenix, AZ 850165347

Telephone 6022775007
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Phoenix, AZ (135 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License AZ 417

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Lori Brady , LPC

Counselor - Professional

NPI 1073747770

Licensed Professional Counselor

Pallavi Lal

Counselor - Mental Health

NPI 1235564683
Idell Kesselman , LPC

Counselor - Mental Health

NPI 1245391010

Licensed Professional Counselor

NPI 1356652010

Licensed Acupuncturist

Shanon Engel

Counselor - Mental Health

NPI 1457623852
Jamie Johnson

Social Worker - Clinical

NPI 1639427719

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2014

Registered at 4201 N 16TH ST, 160, PHOENIX, AZ 850165347 (Tel: 6022775007)

📍
Updated Business Mailing Address July 21, 2014

Registered at 4201 N 16TH ST, 160, PHOENIX, AZ 850165347 (Tel: 6022775007)

👤
Provider Name / Credentials Updated July 21, 2014

Recorded as PHILIP CLARK, LDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2014

Technician/Technologist (License #417 in AZ)

🟢
Initial NPI Registration & Enumeration July 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295142362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2014
Last Update: July 21, 2014
Sole Proprietor: Yes

Mailing Address

4201 N 16th St, 160

Phoenix, AZ 850165347

Phone: 6022775007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.