Organization Active NPI

Sunland Optical Co., Inc.

  • Eyewear Supplier
  • Fort Leavenworth, KS
National Provider Identifier
1639437791
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SUNLAND OPTICAL CO., INC.
Practice address
330 Kansas Ave BLDG 700
Fort Leavenworth, KS 66027-1139
Phone
(913) 651-3526
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 Primary

Addresses

Primary practice location

330 Kansas Ave BLDG 700
Fort Leavenworth, KS 66027-1139

Mailing address

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

National Provider Directory

National Provider Directory

Locations

330 Kansas Ave
Bldg 700
Ft Leavnwrth, KS 66027
Phone (913) 651-3526

NPI Registry JSON

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": "1639437791",
    "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": "330 KANSAS AVE BLDG 700",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271139",
            "telephone_number": "913-651-3526"
        }
    ],
    "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": []
}

Other providers in Fort Leavenworth, KS

Sources for this page

  • 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.