Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK F SULLIVAN, OD
ActiveDR. MARK F SULLIVAN, OD is a Occupational Vision Optometrist healthcare provider located in LOUISVILLE, Kentucky. NPI 1093400269 is currently active in the NPPES registry. Verify at CMS.
Occupational Vision Optometrist · LOUISVILLE, KY
Registration Details
- NPI Number
- 1093400269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2023 (3.3780697285988 yrs)
- Last Updated
- Apr 5, 2023
- Licenses
-
2311DT (KY)2311DT (KY)
Practice Information
- Address
-
4414 SHELBYVILLE RD STE 204LOUISVILLE, KY, 402075328Browse KY providers · Browse ZIP 40207
- Phone
- 5048944434
- Primary Specialty
-
Occupational Vision Optometrist
152WX0102X
- Additional Specialty
- Optometrist
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.