Mustang Optical, Inc.
NPI 1104002328 · Eyewear Supplier · Mustang, OK
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mustang Optical, Inc. is a Eyewear Supplier organization in Mustang, OK (NPI 1104002328).
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
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
Mailing address
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2022-06-07
- Certified
- 2022-06-07
Frequently asked questions
- What is Mustang Optical, Inc.'s NPI number?
- Mustang Optical, Inc.'s National Provider Identifier (NPI) is 1104002328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mustang Optical, Inc.?
- Mustang Optical, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Mustang Optical, Inc. located?
- Mustang Optical, Inc.'s practice location on file with NPPES is 123 N Mustang Rd, Mustang, OK 73064-3912.
- What is Mustang Optical, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mustang Optical, Inc. is (405) 376-0222.
- Does Mustang Optical, Inc. accept Medicare?
- Mustang Optical, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mustang Optical, Inc.?
- The authorized official listed on Mustang Optical, Inc.'s NPPES record is Kennith Butler, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mustang Optical, Inc.'s NPI active?
- Yes — Mustang Optical, Inc.'s NPI (1104002328) is active in the NPPES registry as of the last update on 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.