Sunland Optical Co., Inc.
Organization Active NPI Eyewear Supplier · Ellsworth Afb, SD
NPI 1346508348 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1346508348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- SUNLAND OPTICAL CO., INC.
- Practice address
- 2725 Lemay Blvd
Ellsworth Afb, SD 57706-4868 - Phone
- (605) 923-2159
- NPI assigned
- Apr 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark William Musgrave
- Title
- Cfo
- Phone
- (915) 591-9483
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Sunland Optical Co Inc
Locations
2725 Lemay Blvd
Ellsworth AFB, SD 57706
Phone (605) 923-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
2725 Lemay Blvd
Ellsworth Afb, SD 57706-4868
Mailing address
1156 Barranca Dr
El Paso, TX 79935-5002
Phone (915) 591-9483
Other providers in Ellsworth Afb, SD
- Betty Mae Smith
- Rachel Theresa Smith
- Jan Pier Snedigar
- Tasha Dee Standing Soldier
- Ellen J Stevens
- Michael John-Paul Triana
- Christle Celeste Usera
- Michael J Vadovsky
- Ivan Vicente
- John Tyler Vogel
All providers in Ellsworth Afb, SD · Eyewear Supplier in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.