Sunland Optical Co., Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

07371370 Issued in AZ

Legal business name

SUNLAND OPTICAL CO., INC.

Practice address

5405 E Granite St
BLDG. 2527
Tucson, AZ 85707-3004

Phone

(520) 745-5669

Fax

(520) 514-2850

NPI assigned

Apr 13, 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 Musgrave

Title

Ceo

Phone

(915) 591-9483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1699032771",
    "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": "5405 E GRANITE ST",
            "address_2": "BLDG. 2527",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857073004",
            "telephone_number": "520-745-5669",
            "fax_number": "520-514-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND OPTICAL CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "MUSGRAVE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-591-9483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "07371370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.