DR. MATTHEW SULLIVAN, OD

Optometrist

Active Individual
NPI: 1053311472

Practice Address

980 WILLOW CREEK ROAD
SUITE 202
Prescott, AZ 86301

Phone: (928) 778-3937

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 1102 (AZ)

Frequently Asked Questions

NPI 1053311472 is the National Provider Identifier for DR. MATTHEW SULLIVAN, OD, a Optometrist provider located in Prescott, AZ. This NPI was enumerated on July 28, 2005.
DR. MATTHEW SULLIVAN, OD practices at 980 WILLOW CREEK ROAD, SUITE 202, Prescott, AZ 86301.

Quick Facts

NPI
1053311472
Type
Individual
Enumerated
Jul 28, 2005
Last Updated
Jan 2, 2014

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