DR. Regina Mccollum Sullivan, O.D.

NPI #1336199413 in Norcross, Georgia

Provider Information

NPI Number: 1336199413
Entity Type: Individual
Name: DR. Regina Mccollum Sullivan, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 11, 2006
Last Updated: Mar 3, 2008

Practice Location

Address: 1560 INDIAN TRAIL RD
Address 2: SUITE 108
City: Norcross
State: Georgia
ZIP Code: 30093-2613
Phone: (770) 923-1011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X

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Organizations

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