Sunland Optical Co., Inc.

NPI #1144209172 in Fort Leonard Wood, Missouri

Provider Information

NPI Number: 1144209172
Entity Type: Organization
Organization Name: Sunland Optical Co., Inc.
Primary Specialty: Optometrist
Enumeration Date: Jan 10, 2006
Last Updated: Jul 16, 2007

Practice Location

Address: 143 REPLACEMENT AVE
Address 2: BLD 487
City: Fort Leonard Wood
State: Missouri
ZIP Code: 65473
Phone: (573) 329-4860

Authorized Official

Name: YVONNE BERNAL
Title: CONTROLLER
Phone: (915) 591-9483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optometric Assistant — Optometric Assistant	156FX1201X
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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