Joseph B. Sullivan, O.D. PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1091-3 Issued in KS

Legal business name

JOSEPH B. SULLIVAN, O.D. PA

Practice address

8118 E Douglas Ave
Suite 107
Wichita, KS 67206-2364

Phone

(316) 683-8204

Fax

(316) 683-8204

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph B. Sullivan, O.D.

Title

Owner

Phone

(316) 683-8204

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sullivan Toon & Associates Former legal business name

Electronic endpoints 2

Practitioners 1

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

• Bruce Allen Kater, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1316939051
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1104994987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-683-8204",
            "fax_number": "316-683-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-683-8204",
            "fax_number": "316-683-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B. SULLIVAN, O.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-683-8204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1091-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089620C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sullivanopt@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8118 E Douglas Ave",
            "address_2": "Suite 107",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672062364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KHIN",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8118 E Douglas Ave",
            "address_2": "Suite 107",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672062364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sullivan Toon & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linda Jordan, LSCSW
• Rebecca J Jordan, DC
• Robert Lynn Jordan, PT
• Meghan Elizabeth Jorgensen, APRN
• Skylar Kay Jorgenson, OTA
• Joseph B. Sullivan, O.D. PA
• Joseph G Baba DDS PA
• Joseph P Houlik, DDS, LLC
• Joseph R Tingey, DDS, PA
• Joseph R. Zenisek, MD, P.a.

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.