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SULLIVAN EYE CENTER, S.C.
NPI 1104919869
Ophthalmology in Appleton, WI

Active since October 02, 2006
1195 N CASALOMA DR, APPLETON, WI 54913(920) 734-0400(920) 734-9054 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sullivan Eye Center, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN EYE CENTER, S.C. (NPI 1104919869) is a healthcare organization registered as an ophthalmology in Appleton, Wisconsin and active in the NPI registry since October 2006. The organization lists Robert D. Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1104919869
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSULLIVAN EYE CENTER, S.C.
Location Address1195 N CASALOMA DRAppleton, WI 54913-9295
Mailing Address1195 N Casaloma DrAppleton, WI 54913-9295 · (920) 734-0400 · Fax (920) 734-9054
Phone(920) 734-0400
Fax(920) 734-9054
Organization SubpartNo
Authorized OfficialRobert D. SullivanPresident · (920) 734-0400
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 3, 2008
✔ NPI 1104919869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 18799
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License 2483-035 (WI), 2752-035 (WI), 2681-035 (WI)
1195 N CASALOMA DR, Appleton, WI 54913
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Other Identifiers 4

Medicare PINCT0649
Medicaid38455900WI
Medicare PIN000045385
Medicare NSC0533940001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT D SULLIVAN M.D.
Ophthalmology
1195 N CASALOMA DR
APPLETON, WI 54913
Outagamie County (920) 734-0400
HERSLOF'S, INC
Technician/Technologist (Optician)
1195 N CASALOMA DR
APPLETON, WI 54913
Outagamie County (920) 832-1202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Eye Center, S.C.'s NPI number?

The NPI number for Sullivan Eye Center, S.C. is 1104919869. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Sullivan Eye Center, S.C. located?

Sullivan Eye Center, S.C. is located at 1195 N Casaloma Dr, Appleton, WI 54913. The listed phone number is (920) 734-0400.

What is Sullivan Eye Center, S.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Sullivan Eye Center, S.C. was last updated on September 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.