Individual
DR. DANIEL JOSEPH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1180 BLOWING ROCK RD, SUITE 1A, BOONE, NC 28607-4883
(828) 264-2020
(828) 264-8918
Mailing address
1180 BLOWING ROCK RD, SUITE 1A, BOONE, NC 28607-4883
(828) 264-2020
(828) 264-8918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC1778
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0919I
BCBSNC
NC
05
—
790919I
—
NC
Enumeration date
06/06/2006
Last updated
10/27/2014
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