Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW RYAN SULLIVAN, OD
ActiveDR. MATTHEW RYAN SULLIVAN, OD is a Optometrist healthcare provider located in PRESCOTT, Arizona. NPI 1053311472 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PRESCOTT, AZ
Registration Details
- NPI Number
- 1053311472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (21.028022399376 yrs)
- Last Updated
- Jan 2, 2014
- License
-
1102 (AZ)
Practice Information
- Address
-
980 WILLOW CREEK ROADSUITE 202PRESCOTT, AZ, 863011610Browse AZ providers · Browse ZIP 86301
- Phone
- 9287783937
- Fax
- 9287783939
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. GARY L MORGAN | O.D. | 1760485874 |
| DR. PRISCILLA LEE | O.D. | 1235126129 |
| DR. JOHN R MARKHAM | O D | 1225094550 |
| STEVEN MARK MEYERS | OD | 1467410225 |
| AMY H CHAMP | OD | 1649238346 |
| CARRIE JOY MIRANDA | O. D. | 1306896303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.