Dr. Matthew Ryan Sullivan is a Prescott, Arizona based male Optometrist with 24 years of experience in Optometry. He completed his graduation from University Alabama Birmingham - School Of Optometry in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Matthew Ryan Sullivan is 1102 for Optometry in Arizona. Dr. Matthew Ryan Sullivan examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Matthew Ryan Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
24+ years
Medical School Attended:
University Alabama Birmingham - School Of Optometry
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
980 Willow Creek Road, Suite 202, Prescott, Arizona, 86301-1610
Phone:
928-778-3937
Fax:
928-778-3939
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0648265124
Enrollment ID:
I20091203000689
NPI Number:
1053311472
NPI Enumeration Date:
28 Jul, 2005
NPI Last Update On:
02 Jan, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Ryan Sullivan are as mentioned below.
License Number
Specialization
State
Status
1102
Optometry
Arizona
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Matthew Ryan Sullivan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Matthew R Sullivan Od Pc (0749275378)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Matthew Ryan Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1053311472
Other
Arizona
INDIVIDUAL NPI
410045761
Other
Arizona
RAILROAD
1285813360
Other
Arizona
GROUP NPI
64294
Other
Arizona
MEDICARE GROUP NUMBER
1102
Other
Arizona
STATE LICENSE
620353
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
980 Willow Creek Road, Suite 202 Prescott, Arizona
Zip:
86301-1610
Phone Number:
928-778-3937
Fax Number:
928-778-3939
Patients can reach Dr. Matthew Ryan Sullivan at 980 Willow Creek Road, Suite 202, Prescott, Arizona or can call to book an appointment on 928-778-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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