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DR. MICHAEL JAMES SULLIVAN OD
NPI 1700168333
Optometrist in Potsdam, NY

Active since September 09, 2011
59 ELM ST, POTSDAM, NY 13676(315) 265-7417(315) 265-7417 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael James Sullivan Od NPPES

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

DR. MICHAEL JAMES SULLIVAN OD (NPI 1700168333) is an individual optometrist in Potsdam, New York, licensed in New York (TUV007119-1) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1700168333
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL JAMES SULLIVANCredential: OD
Location Address59 ELM STPotsdam, NY 13676-1808
Mailing Address125 Martin Ave. WestWinnipeg, MANITOBA R2L 0B3 · (204) 663-8744 · Fax (204) 663-6412
Phone(315) 265-7417
Fax(315) 265-7417
Sole ProprietorYes
Enumeration DateSeptember 9, 2011
✔ NPI 1700168333 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 NY · TUV007119-1
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.
59 ELM ST, Potsdam, NY 13676
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1700168333. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Michael Sullivan located?

Michael Sullivan practices at 59 Elm St, Potsdam, NY 13676. The listed phone number is (315) 265-7417.

What is Michael Sullivan's specialty?

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

What insurance does Michael Sullivan accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Michael Sullivan 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 Michael Sullivan was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.