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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW R SULLIVAN OD PC

Active Organization

MATTHEW R SULLIVAN OD PC is a Optometrist organization located in PRESCOTT, Arizona. NPI 1285813360 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PRESCOTT, AZ

Registration Details

NPI Number
1285813360
Provider Type
Organization
NPI Issued
Oct 25, 2007 (18.79271432566 yrs)
Last Updated
Mar 30, 2021
License
1102 (AZ)

Practice Information

Address
980 WILLOW CREEK ROAD
SUITE 202
PRESCOTT, AZ, 86301
Browse AZ providers · Browse ZIP 86301
Phone
9287783937
Fax
9287783939
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.