NPI 1144209172

Sunland Optical Co., INC.

Organisation Optometrist Fort Leonard Wood, MO

Practice location

Address: 143 Replacement Ave Bld 487, Fort Leonard Wood, MO 65473
Phone: (573) 329-4860
Mailing address: 1156 Barranca Dr, El Paso, TX 79935-5095

Authorised official

Name: Yvonne Bernal
Title: Controller
Phone: (915) 591-9483

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Missouri →

Optometric Assistant Technician

Eye and Vision Services Providers Taxonomy 156FX1201X

Other Technician/Technologist providers in Missouri →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI: 1144209172
Entity type: Organization
NPI issued: 10 Jan 2006
Record last updated: 16 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.