| NPI | 1629786397 |
|---|---|
| Former Legal Business Name | SUNDANCE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | PHILIP KIERAN CLARK Owner 602-277-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |