| Organization Name: | SUNLAND OPTICAL CO., INC. |
| NPI Number: | 1144209172 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YVONNE BERNAL (CONTROLLER) |
| Mailing Address: | 143 Replacement Ave Bld 487 Fort Leonard Wood |
| State: | MO US |
| Postal Code: | 65473 |
| Phone Number: | 5733294860 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2006 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1201X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optometric Assistant |
| Taxonomy Definition: | |