Organization
JOSEPH B. SULLIVAN, O.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B. SULLIVAN OD (OWNER)
(316) 683-8204
Entity
Organization
Contact information
Practice address
8118 E DOUGLAS AVE STE 107, WICHITA, KS 67206-2364
(316) 683-8204
(316) 683-8204
Mailing address
8118 E DOUGLAS AVE STE 107, WICHITA, KS 67206-2364
(316) 683-8204
(316) 683-8204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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