William Eugene Sullivan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60233648 Issued in WA

Practice address

2715 W Court St
Pasco, WA 99301-3911

Phone

(509) 547-8409

Fax

(509) 544-7875

NPI assigned

Jul 9, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bill Sullivan Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pasco Vision Clinic P SGroup PAC ID 2860484169, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.32 of 100Reported as individual

Quality

72.19

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.sullivan@direct.revolutionehr.com

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.

• Pasco Vision Clinic P S

  • Optometrist
  • Pasco, WA
  • NPI 1104851690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1265729354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013911",
            "telephone_number": "509-547-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013911",
            "telephone_number": "509-547-8409",
            "fax_number": "509-544-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "WILLIAM",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60233648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "SULLIVAN",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmine Suarez, RDH
• Marjorie Mae Suarez, CDP.CP.61523163
• James Chester Sullivan, O.D.
• Mariah M Sullivan, CCC-SLP
• Shannon Savage Sullivan, LSWAIC
• Jeremy Sun, D.D.S
• Denise V Swanson, DPT
• Stephane Marie Szendre
• Stanley Tabugbo
• Michaele Evalyn Tahvili, MA LMHC

• Optometrist in Pasco, WA
• Providers in Pasco, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.