Thundercloud Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1305E Issued in AZ

Legal business name

THUNDERCLOUD OPTICAL

Practice address

4515 N 16TH St Ste 112
Phoenix, AZ 85016-5362

Phone

(602) 200-9803

Fax

(602) 200-9804

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Fielder, LDO

Title

General Manager/ Licensed Optician

Phone

(602) 200-9803

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1831678127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 N 16TH ST STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165362",
            "telephone_number": "602-200-9803",
            "fax_number": "602-200-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 N 16TH ST STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165362",
            "telephone_number": "602-200-9803",
            "fax_number": "602-200-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERCLOUD OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "FIELDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "GENERAL MANAGER/ LICENSED OPTICIAN",
        "authorized_official_telephone_number": "602-200-9803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "1305E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thursby Wellness Center

• Eyewear Supplier in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Eyewear Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.