FORT JACKSON
NPI 1073956926
Eyewear Supplier in El Paso, TX

Active since April 10, 2013
1156 BARRANCA DR, EL PASO, TX 79935(915) 591-9483 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About FORT JACKSON

This page provides the complete NPI Profile along with additional information for Fort Jackson, a provider established in El Paso, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1073956926 assigned on April 2013. The practitioner's primary taxonomy code is 332H00000X with license number 025315 (DC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Fort Jackson. The authorized official of this NPI record is Mr. Mark W. Musgrave (Cfo)

NPI
1073956926 Verify this NPI
Provider Legal Name
SUNLAND OPTICAL CO., INC.
Other Organization Name
FORT JACKSON
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1156 BARRANCA DR EL PASO, TX 79935
Location Phone
(915) 591-9483
Mailing Address
4110 MOSBY STREET FORT JACKSON, SC 29206
Mailing Phone
(803) 787-6670
Mailing Fax
(803) 790-0498
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2013
Last Update Date
04-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
025315
License State
DC
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK W. MUSGRAVE

Authorized Official Title
CFO
Authorized Official Phone
(915) 591-9483

Reviews for FORT JACKSON

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Eyewear Supplier
1156 BARRANCA DR
EL PASO, TX 79935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073956926, enumerated as an "organization" on April 10, 2013.

The provider is located at 1156 BARRANCA DR EL PASO, TX 79935 and the phone number is (915) 591-9483.

Eyewear Supplier with taxonomy code 332H00000X.