Organization
SULLIVAN OPTOMETRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT F. SULLIVAN O.D. (OWNER/OPTOMETRIST)
(978) 562-7976
Entity
Organization
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
01
—
0004395
RETIRED RAILROAD MEDICARE
MA
05
—
9764054
—
MA
01
—
W20431
BCBS
MA
01
—
W21104
MEDICARE NHIC
MA
Enumeration date
01/25/2008
Last updated
01/18/2011
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