Joseph B. Sullivan, O.d. PA

NPI #1104994987 in Wichita, Kansas

Provider Information

NPI Number: 1104994987
Entity Type: Organization
Organization Name: Joseph B. Sullivan, O.d. PA
Primary Specialty: Optometrist
Enumeration Date: Dec 1, 2006
Last Updated: Dec 17, 2020

Practice Location

Address: 8118 E DOUGLAS AVE
Address 2: SUITE 107
City: Wichita
State: Kansas
ZIP Code: 67206-2364
Phone: (316) 683-8204

Authorized Official

Name: DR. JOSEPH B. SULLIVAN, O.D.
Title: OWNER
Phone: (316) 683-8204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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