Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNA LELSEY SULLIVAN, OD
Active Sole ProprietorDR. JENNA LELSEY SULLIVAN, OD is a Optometrist healthcare provider located in KAUKAUNA, Wisconsin. NPI 1366936932 is currently active in the NPPES registry. Verify at CMS.
Optometrist · KAUKAUNA, WI
Registration Details
- NPI Number
- 1366936932
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2018 (8.1485998084183 yrs)
- Last Updated
- Jul 2, 2019
- Licenses
-
3564-35 (WI)OPC5544 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 BANK AVEKAUKAUNA, WI, 541302581Browse WI providers · Browse ZIP 54130
- Phone
- 9207662481
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in KAUKAUNA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. MARK ARTHUR EBBEN | OD OPTOMETRIST | 1255389201 |
| DAVID G VANDERLOOP II | O.D. | 1851344642 |
| DR. MARY KATHRYN SCHROEDER | OD | 1730602467 |
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.