OrganizationActive
Mustang Optical, Inc.
NPI 1104002328 · Eyewear Supplier · Mustang, OK
Provider details
- NPI number
- 1104002328
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kennith Butler, Owner(405) 376-0222
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
123 N Mustang Rd
Mustang, OK 73064-3912
Phone: (405) 376-0222
Fax: (405) 376-0233
Street-level locationGet directions
Mailing address
123 N Mustang Rd
Mustang, OK 73064-3912
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2022-06-07
- Certified
- 2022-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.