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MATTHEW R SULLIVAN OD
NPI 1285813360
Optometrist in Prescott, AZ

Active since October 25, 2007
980 WILLOW CREEK ROAD, SUITE 202, PRESCOTT, AZ 86301(928) 778-3937(928) 778-3939 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Mar 30, 2021 (2 updates tracked since 2021).

About Matthew R Sullivan Od NPPES

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

MATTHEW R SULLIVAN OD (NPI 1285813360), doing business as Premier Eye Center, is a healthcare organization registered as an optometrist in Prescott, Arizona and active in the NPI registry since October 2007. The organization lists Matthew Ryan Sullivan, Od, as its authorized official.

NPPES Registry Identity

NPI1285813360
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMATTHEW R SULLIVAN OD
Location Address980 WILLOW CREEK ROAD, SUITE 202Prescott, AZ 86301
Mailing Address980 Willow Creek Rd Ste 202Prescott, AZ 86301-1616 · (928) 778-3937 · Fax (928) 778-3939
Phone(928) 778-3937
Fax(928) 778-3939
Organization SubpartNo
Authorized OfficialMatthew Ryan SullivanOd · (928) 778-3937
Enumeration DateOctober 25, 2007
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1285813360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 1102
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
980 WILLOW CREEK ROAD, Prescott, AZ 86301
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Other Names 1

Doing Business AsPremier Eye Center

Other Identifiers 2

Other4244670001AZ · Dmerc
Medicaid578966AZ

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Premier Eye Center carries, from the Medicare DMEPOS supplier directory.

Premier Eye Center

DMEPOS supplier · Prescott, AZOperated by Matthew R Sullivan Od PC
✔

Accepts Medicare assignment

Premier Eye Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20617199
Medicare Participant SinceApril 1, 2001
Supplier Location980 Willow Creek Rd Ste 202Prescott, AZ 86301
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. MATTHEW RYAN SULLIVAN OD
Optometrist
980 WILLOW CREEK ROAD, SUITE 202
PRESCOTT, AZ 86301
Yavapai County (928) 778-3937
BRUCE A WEARY DC LTD
Chiropractor
980 WILLOW CREEK ROAD, 104
PRESCOTT, AZ 86301
Yavapai County (928) 778-2227

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 Matthew R Sullivan Od's NPI number?

The NPI number for Matthew R Sullivan Od is 1285813360. It was assigned to this organization in the NPPES registry on October 25, 2007. The provider is doing business as Premier Eye Center.

Where is Matthew R Sullivan Od located?

Matthew R Sullivan Od is located at 980 Willow Creek Road Suite 202, Prescott, AZ 86301. The listed phone number is (928) 778-3937.

What is Matthew R Sullivan Od's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Matthew R Sullivan Od accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Premier Eye Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Matthew R Sullivan Od accept?

Health plans from BlueCross BlueShield of Tennessee list Matthew R Sullivan Od as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew R Sullivan Od was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.