Provider Demographics
NPI:1679768253
Name:SUN ENTERPRISES INC
Entity Type:Organization
Organization Name:SUN ENTERPRISES INC
Other - Org Name:SUNGLASSES EYELAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YONG
Authorized Official - Middle Name:C
Authorized Official - Last Name:MYNATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-436-6200
Mailing Address - Street 1:301 S BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-5805
Mailing Address - Country:US
Mailing Address - Phone:580-436-6200
Mailing Address - Fax:580-436-4686
Practice Address - Street 1:301 S BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-5805
Practice Address - Country:US
Practice Address - Phone:580-436-6200
Practice Address - Fax:580-436-4686
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNGLASSES EYELAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-07
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier