Sunland Optical Co., Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SUNLAND OPTICAL CO., INC

Practice address

207 W Winters St BLDG 1981
Scott AFB, IL 62225-5324

Phone

(618) 744-0277

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1609134600",
    "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": "207 W WINTERS ST BLDG 1981",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255324",
            "telephone_number": "618-744-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND OPTICAL CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Loren Snowden, LCSW
• Derek J Speten, MS, PHARM D
• Abigail R Steffens, M.S. CCC-SLP
• Donna Stewart, RN
• Daniel S Streck, DDS
• Sarah Surrey, LCSW
• Emily Ann Svezia, PHARMD
• Donald Jay Swierenga, DDS
• Cathy Sue Takacs, R.D., L.D.N.
• Chauncey Denise Tarrant, M.D.

• Eyewear Supplier in Scott AFB, IL
• Providers in Scott AFB, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.