Sunland Optical Co., Inc.
NPI #1346508348 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1346508348
- Entity Type
- Organization
- Organization Name
- Sunland Optical Co., Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Apr 26, 2012
- Last Updated
- Apr 26, 2012
Practice Location
- Address
- 2725 LEMAY BLVD
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4868
- Phone
- (605) 923-2159
Authorized Official
- Name
- MR. MARK WILLIAM MUSGRAVE
- Title
- CFO
- Phone
- (915) 591-9483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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