SUNLAND OPTICAL CO., INC.
NPI 1477812816
Eyewear Supplier in Fort Drum, NY

Active since May 04, 2012
BLDG P-10730 A/B, FORT DRUM, NY 13602(315) 775-4618 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About SUNLAND OPTICAL CO., INC.

This page provides the complete NPI Profile along with additional information for Sunland Optical Co., Inc., a provider established in Fort Drum, New York operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1477812816 assigned on May 2012. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Mark William Musgrave (Cfo)

NPI
1477812816 Verify this NPI
Provider Name
SUNLAND OPTICAL CO., INC.
Entity Type
Organization
Location Address
BLDG P-10730 A/B FORT DRUM, NY 13602
Location Phone
(315) 775-4618
Mailing Address
1156 BARRANCA DR EL PASO, TX 79935
Mailing Phone
(915) 591-9483
Mailing Fax
(915) 225-0698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2012
Last Update Date
05-04-2012
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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
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 WILLIAM MUSGRAVE

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

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477812816, enumerated as an "organization" on May 04, 2012.

The provider is located at BLDG P-10730 A/B FORT DRUM, NY 13602 and the phone number is (315) 775-4618.

Eyewear Supplier with taxonomy code 332H00000X.