Individual
MITCHELL WILLIAM SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
118 SOUTH DR, NATCHITOCHES, LA 71457-5037
(318) 352-0444
Mailing address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2035-981AT
LA
Other
Enumeration date
07/25/2024
Last updated
05/01/2025
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