Organization
SUNLAND OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BERNAL (CONTROLLER)
(915) 591-9483
Entity
Organization
Contact information
Practice address
143 REPLACEMENT AVE, BLD 487, FORT LEONARD WOOD, MO 65473
(573) 329-4860
Mailing address
1156 BARRANCA DR, EL PASO, TX 79935-5095
(915) 591-9483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
01/10/2006
Last updated
07/16/2007
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