Individual
CAROLINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1905 TOWNE CENTRE BLVD STE 110, ANNAPOLIS, MD 21401-3594
(410) 268-8200
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2815
MD
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/13/2021
Last updated
12/22/2025
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