MUSTANG OPTICAL, INC.
NPI 1104002328
Eyewear Supplier in Mustang, OK

Active since January 17, 2008
123 N MUSTANG RD, MUSTANG, OK 73064(405) 376-0222(405) 376-0233 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mustang Optical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSTANG OPTICAL, INC. (NPI 1104002328) is a healthcare organization registered as an eyewear supplier in Mustang, Oklahoma and active in the NPI registry since January 2008. The organization lists Kennith D Butler, Owner, as its authorized official.

NPPES Registry Identity

NPI1104002328
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameMUSTANG OPTICAL, INC.
Location Address123 N MUSTANG RDMustang, OK 73064-3912
Mailing Address123 N Mustang RdMustang, OK 73064-3912 · (405) 376-0222 · Fax (405) 376-0233
Fax(405) 376-0233
Organization SubpartNo
Authorized OfficialKennith D ButlerOwner · (405) 376-0222
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1104002328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
123 N MUSTANG RD, Mustang, OK 73064

Other Identifiers 1

Medicaid100769000AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Mustang Optical carries, from the Medicare DMEPOS supplier directory.

Mustang Optical

DMEPOS supplier · Mustang, OKOperated by Mustang Optical Inc

Does not accept Medicare assignment

Mustang Optical has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20625665
Medicare Participant SinceJanuary 1, 2001
Supplier Location123 N Mustang RdMustang, OK 73064
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
123 N MUSTANG RD
MUSTANG, OK 73064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mustang Optical, Inc.'s NPI number?

The NPI number for Mustang Optical, Inc. is 1104002328. It was assigned to this organization in the NPPES registry on January 17, 2008.

Where is Mustang Optical, Inc. located?

Mustang Optical, Inc. is located at 123 N Mustang Rd, Mustang, OK 73064. The listed phone number is (405) 376-0222.

What is Mustang Optical, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Mustang Optical, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mustang Optical does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Mustang Optical, Inc. was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.