Sunland Optical Co., Inc.

NPI #1275891889 in Holloman Afb, New Mexico

Provider Information

NPI Number: 1275891889
Entity Type: Organization
Organization Name: Sunland Optical Co., Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: May 2, 2012
Last Updated: May 2, 2012

Practice Location

Address: 551 4TH STREET
Address 2: BLDG. 227
City: Holloman Afb
State: New Mexico
ZIP Code: 88330
Phone: (575) 479-2681

Authorized Official

Name: MR. MARK WILLIAM MUSGRAVE
Title: CFO
Phone: (915) 591-9483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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