Organization
SUNLAND OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MUSGRAVE (CEO)
(915) 591-9483
Entity
Organization
Contact information
Practice address
5405 E GRANITE ST, BLDG. 2527, TUCSON, AZ 85707-3004
(520) 745-5669
(520) 514-2850
Mailing address
1156 BARRANCA DR, EL PASO, TX 79935-5002
(915) 591-9483
(915) 225-0698
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
07371370
AZ
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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