Organization Active NPI

Sightline Ophthalmology PS

  • Cornea and External Diseases Specialist Physician
  • Gig Harbor, WA
National Provider Identifier
1003419664
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
Legal business name
SIGHTLINE OPHTHALMOLOGY PS
Practice address
5201 Olympic Dr Ste 110
Gig Harbor, WA 98335-1778
Phone
(253) 432-3238
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Preston Sullivan, MDNPI 1275696056
Title
President
Phone
(541) 621-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0120X Primary

Addresses

Primary practice location

5201 Olympic Dr Ste 110
Gig Harbor, WA 98335-1778

Mailing address

5201 Olympic Dr Ste 110
Gig Harbor, WA 98335-1778
Phone (253) 432-3238

Other practice location 1

6720 Regents Blvd
University Place, WA 98466-5400
Phone (253) 432-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601002273 WA Part B Supplier - Clinic/Group Practice 6709285349 Receives reassigned benefits from 1 practitioner
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory

Locations

5201 Olympic Dr
Gig Harbor, WA 98335
Phone (253) 372-8635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1003419664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 OLYMPIC DR STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351778",
            "telephone_number": "253-432-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 OLYMPIC DR STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351778",
            "telephone_number": "253-432-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Regents Blvd",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984665400",
            "country_code": "US",
            "telephone_number": "253-432-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGHTLINE OPHTHALMOLOGY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-621-7080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.