Organization
JOSEPH B. SULLIVAN, O.D. PA
Active
Other names
Sullivan Toon & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B. SULLIVAN O.D. (OWNER)
(316) 683-8204
Entity
Organization
Contact information
Practice address
8118 E DOUGLAS AVE, SUITE 107, WICHITA, KS 67206-2364
(316) 683-8204
(316) 683-8204
Mailing address
8118 E DOUGLAS AVE, SUITE 107, WICHITA, KS 67206-2364
(316) 683-8204
(316) 683-8204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1091-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089620C
—
KS
Enumeration date
12/01/2006
Last updated
12/17/2020
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