Sullivan Eye Center, S.C. in Appleton - Ophthalmology

Sullivan Eye Center, S.C. - NPI 1104919869

Sullivan Eye Center, S.C. is a Ophthalmology in Appleton, Wisconsin. Sullivan Eye Center, S.C. practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Sullivan Eye Center, S.C. is 1104919869. The last update date is 2008-09-03.

Sullivan Eye Center, S.C.'s current location address is 1195 N Casaloma Dr, Appleton, Wisconsin. You can contact this provider via phone number 9207340400 and fax number 9207349054. The mailing address for Sullivan Eye Center, S.C. is 1195 N Casaloma Dr, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sullivan Eye Center, S.C.
Address 1195 N Casaloma Dr, Appleton, Wisconsin
Phone Number 9207340400
Fax Number 9207349054
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sullivan D. Robert
Credentials M.D.
Telephone Number 9207340400

NPI Number Detail

NPI Number 1104919869
Provider Enumeration Date 2006-10-02
Last Updated Date 2008-09-03

Provider Mailing Address Detail

Address 1195 N Casaloma Dr
City Appleton
State Wisconsin (WI)
Post Code 549139295
Phone Number 9207340400
Fax Number 9207349054

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 18799
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38455900 WI --

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FAQs about Sullivan Eye Center, S.C.

What is the Sullivan Eye Center, S.C.'s 1104919869?

The Sullivan Eye Center, S.C.'s NPI (National Provider Identifier) Number is 1104919869. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Sullivan Eye Center, S.C.?

The Sullivan Eye Center, S.C. is situated at 1195 N Casaloma Dr, in the city of Appleton, state of WI, with the zip code 549139295.

What is Sullivan Eye Center, S.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sullivan Eye Center, S.C. is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104919869 to Sullivan Eye Center, S.C.?

The Centers for Medicare & Medicaid Services assigned the 1104919869 to Sullivan Eye Center, S.C. on 2006-10-02.

When was the information regarding Sullivan Eye Center, S.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sullivan Eye Center, S.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-03.

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