Sarah M Sullivan

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008449-1 Issued in NY

Practice address

152 Bay St
Glens Falls, NY 12801-2329

Phone

(518) 792-4140

Fax

(518) 792-9008

NPI assigned

Jul 24, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adirondack Eye Physicians & Surgeons PC

  • Optometrist
  • Glens Falls, NY
  • NPI 1114148442
  NPD (past)
• Bay Optical, Inc

  • Optician
  • Glens Falls, NY
  • NPI 1073681169
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1003046954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012329",
            "telephone_number": "518-792-4140",
            "fax_number": "518-792-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012329",
            "telephone_number": "518-792-4140",
            "fax_number": "518-792-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Strand, RN
• Tamra Lynn Streeter, PHARMD
• Kari Lynn Sudfeld, NP
• Linda J Sugent, PA-C
• Bridget Sullivan, RN
• Vikram Sumbly, M.D.
• Susan Boggia Audiology, PC
• Diana Marie Sustar, MD
• Kamali Swaminathan, MD,MPH
• Curtis J Sweet, CASAC

• Optician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.