Sunland Optical Co., Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

200201067 Issued in SC

Legal business name

SUNLAND OPTICAL CO., INC.

Practice address

370 Rhodes Ave
Shaw a F B, SC 29152-1523

Phone

(803) 666-2011

NPI assigned

Apr 26, 2012

Last updated

Apr 26, 2012By the provider in NPPES

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

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": "1841558905",
    "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": "370 RHODES AVE",
            "city": "SHAW A F B",
            "state": "SC",
            "postal_code": "291521523",
            "telephone_number": "803-666-2011"
        }
    ],
    "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": "SC",
            "license": "200201067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Smith, MS, ATC
• Nathan Augustine Sollenberger, PHD
• Jessica Lauren Starnes, DMD
• Jennifer N Steele, IDMT
• Veronica Levette Stukes, APRN
• Ericniesha Taylor, LCSW-C, LICSW
• Tammy Tenace, NP
• Naomi Christine Torrance, ANP
• Alexander Tran, PHARMD
• Charlene Ubah, OD

• Eyewear Supplier in Shaw AFB, SC
• Providers in Shaw AFB, SC by specialty
• Eyewear Supplier in South Carolina

• 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.