Individual
DR. GARRETT F. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
34 POPE ST, HUDSON, MA 01749-2182
(978) 562-7976
(978) 562-4807
Mailing address
34 POPE ST, HUDSON, MA 01749-2182
(978) 562-7976
(978) 562-4807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0350559
—
MA
01
—
043072755
FALLON
MA
01
—
11223238
UNITED HEALTH CARE
—
01
—
242750
CIGNA
MA
01
—
261552128
FALLON
MA
01
—
47545
SPECTERA
MA
01
—
6000000016
HARVARD PILGRIM
MA
01
—
700882
TUFTS
MA
01
—
81117
AETNA
—
01
—
MA2233
EYEMED
MA
01
—
T59348
HEALTH PLANS
MA
01
—
W15302
BLUECROSS BLUE SHIELD
—
Enumeration date
07/07/2006
Last updated
10/15/2008
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