Organization
GARRETT F. SULLIVAN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT F. SULLIVAN OD (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
05
—
9764054
—
MA
01
—
W20431
BLUECROSS BLUESHIELD
—
Enumeration date
12/20/2006
Last updated
01/11/2008
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