National Provider Identifier Database

MATTHEW R SULLIVAN OD
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MATTHEW R SULLIVAN OD
980 WILLOW CREEK ROAD
SUITE 202
PRESCOTT, AZ86301
Phone: 928-778-3937
Fax: 928-778-3939
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MATTHEW R SULLIVAN OD

NPI Number 1285813360
Legal business name
LBN
MATTHEW R SULLIVAN OD
Authorized official MATTHEW SULLIVAN - (OD)
Entity Organization
Organization subpart No
Enumeration date 10/25/2007
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 1102
  • AZ Medicaid: 578966
  • AZ Other: 4244670001 DMERC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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