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Contact Information

THUNDERCLOUD OPTICAL
4515 N 16TH ST STE 112
PHOENIX, AZ85016-5362
 Phone: 602-200-9803
 Fax: 602-200-9804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for THUNDERCLOUD OPTICAL

NPI # 1831678127
LBN Legal business name THUNDERCLOUD OPTICAL
Authorized official CHARLES FIELDER - (GENERAL MANAGER/ LICENSED OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2018
Last updated 08/08/2018 - About 8 years ago
Identifiers
AZ License # 1305E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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