Sullivan Eye Center, S.c. in Appleton, WI - Ophthalmology

Sullivan Eye Center, S.c. is a Ophthalmology based in Appleton, Wisconsin. Sullivan Eye Center, S.c. is licensed to practice in Wisconsin (license number 18799) and their current practice location is 1195 N Casaloma Dr, Appleton, Wisconsin. It can be reached at their office (for appointments etc.) via phone at (920) 734-0400.

NPI number for Sullivan Eye Center, S.c. is 1104919869 and their current mailing address is 1195 N Casaloma Dr, Appleton, Wisconsin. Sullivan Eye Center, S.c. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104919869.

Contact Information

	Sullivan Eye Center, S.c.
	1195 N Casaloma Dr, Appleton, WI 54913-9295
	(920) 734-0400
	(920) 734-9054

Healthcare Provider's Profile

Full Name	Sullivan Eye Center, S.c.
Type	Facility
Speciality	Ophthalmology
Location	1195 N Casaloma Dr, Appleton, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1104919869
Provider Enumeration Date: 10/02/2006
Last Update Date: 09/03/2008

Medical Identifiers

Medical identifiers for Sullivan Eye Center, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104919869	NPI	-	NPPES
38455900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2483-035 (Wisconsin)	Secondary
152W00000X	Optometrist	2752-035 (Wisconsin)	Secondary
152W00000X	Optometrist	2681-035 (Wisconsin)	Secondary
207W00000X	Ophthalmology	18799 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sullivan Eye Center, S.c. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sullivan Eye Center, S.c. 1195 N Casaloma Dr, Appleton, WI 54913-9295 Ph: (920) 734-0400	Sullivan Eye Center, S.c. 1195 N Casaloma Dr, Appleton, WI 54913-9295 Ph: (920) 734-0400

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Sullivan Eye Center, S.c. - in Appleton, WI