Erin Cleary Sullivan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2003015404 Issued in MO

Practice address

621 S New Ballas Rd
Ophthalmology Consultants LTD Ste 5006B
Saint Louis, MO 63141-8232

Phone

(314) 432-5478

Fax

(314) 569-0864

NPI assigned

Oct 14, 2005

Last updated

Jan 16, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmology Consultants LLCGroup PAC ID 6800884008, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.58 of 100Reported as group

Quality

80.09

Promoting interoperability

88

Improvement activities

40

Cost

61.86

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.sullivan.p1@direct.ocltd.nextgenshare.com
• Direct secure messaging: erin.sullivan.p2@direct.ocltd.nextgenshare.com

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

• Ophthalmology Consultants, LLC

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1508899543

  Optometrist

  Medicare reassignment Care Compare group NPD
• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1659799575
  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1205825080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 5006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-5478",
            "fax_number": "314-569-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "OPHTHALMOLOGY CONSULTANTS LTD STE 5006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-5478",
            "fax_number": "314-569-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIN",
        "middle_name": "CLEARY",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003015404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "182433",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "629885",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Sullivan
• Conor Michael Sullivan
• Daniel T. Sullivan, D.D.S.
• Elise Sullivan
• Elizabeth C Sullivan, OT
• Gregory L Sullivan, D.C.
• Hannah Sullivan, MD
• Julie Ann Sullivan
• Karolyn Nicole Sullivan, MA, LPC
• Kevin P Sullivan, LPC

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.