NPIMap

Organization Active NPI

Sunland Optical Co., Inc.

  • Eyewear Supplier
  • Fort Drum, NY
National Provider Identifier
1477812816
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SUNLAND OPTICAL CO., INC.
Practice address
BLDG P-10730 a/B
Fort Drum, NY 13602
Phone
(315) 775-4618
NPI assigned
May 4, 2012
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Mr. Mark William Musgrave
Title
Cfo
Phone
(915) 591-9483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

BLDG P-10730 a/B
Fort Drum, NY 13602

Mailing address

1156 Barranca Dr
El Paso, TX 79935-5002
Phone (915) 591-9483

National Provider Directory

National Provider Directory
Tax ID family
Sunland Optical Co Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1156 Barranca Dr
El Paso, TX 79935
Phone (915) 591-9483

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1477812816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BARRANCA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799355002",
            "telephone_number": "915-591-9483",
            "fax_number": "915-225-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG P-10730 A/B",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-775-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND OPTICAL CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "MUSGRAVE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "915-591-9483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.