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Contact Information

SUNLAND OPTICAL CO., INC.
143 REPLACEMENT AVE
BLD 487
FORT LEONARD WOOD, MO65473
 Phone: 573-329-4860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
 

Optometric Assistant Technician

156FX1201X
Indicates primary specialty

NPI Profile & details for SUNLAND OPTICAL CO., INC.

NPI Number 1144209172
LBN Legal business name SUNLAND OPTICAL CO., INC.
Authorized official YVONNE BERNAL - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2006
Last updated 07/16/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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