DR. REGINA SULLIVAN, O.D.

Optometrist

Active Individual
NPI: 1336199413

Practice Address

1560 INDIAN TRAIL RD
SUITE 108
Norcross, GA 30093

Phone: (770) 923-1011

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes GA1647 (GA)
Optometrist - Corneal and Contact Management 152WC0802X No GA1647 (GA)
Optometrist - Pediatrics 152WP0200X No GA1647 (GA)
Optometrist - Vision Therapy 152WV0400X No GA1647 (GA)

Frequently Asked Questions

NPI 1336199413 is the National Provider Identifier for DR. REGINA SULLIVAN, O.D., a Optometrist provider located in Norcross, GA. This NPI was enumerated on May 11, 2006.
DR. REGINA SULLIVAN, O.D. practices at 1560 INDIAN TRAIL RD, SUITE 108, Norcross, GA 30093.

Quick Facts

NPI
1336199413
Type
Individual
Enumerated
May 11, 2006
Last Updated
Mar 3, 2008

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