Sunland Optical Co., INC

NPI #1609134600 in Scott Afb, Illinois

Provider Information

NPI Number
1609134600
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
207 W WINTERS ST BLDG 1981
ZIP Code
62225-5324
Phone
(618) 744-0277

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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