Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JAMES SULLIVAN, OD
Active Sole ProprietorDR. MICHAEL JAMES SULLIVAN, OD is a Optometrist healthcare provider located in POTSDAM, New York. NPI 1700168333 is currently active in the NPPES registry. Verify at CMS.
Optometrist · POTSDAM, NY
Registration Details
- NPI Number
- 1700168333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2011 (14.930133685829 yrs)
- Last Updated
- Sep 9, 2011
- License
-
TUV007119-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 ELM STPOTSDAM, NY, 136761808Browse NY providers · Browse ZIP 13676
- Phone
- 3152657417
- Fax
- 3152657417
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in POTSDAM, NY
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL C O'DONNELL | O.D. | 1396717955 |
| DR. DAVID F AMELL | OD | 1316906373 |
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.