Preston Sullivan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00044121 Issued in WA

Practice address

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

Phone

(253) 432-3238

Fax

(253) 509-0217

NPI assigned

Dec 19, 2006

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Geisel School of Medicine at Dartmouth, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sightline Ophthalmology PS

  • Cornea and External Diseases Specialist Physician
  • Gig Harbor, WA
  • NPI 1003419664
  Medicare reassignment NPD Authorized official
• Kitsap Eye Physicians PS

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1174732556
  Medicare reassignment NPD
• Kitsap Eye Physicians PS

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1972712354
  NPD
• Valerie Sutherland, MD, PLLC

  dba Rainier Medical Weight Loss and Wellness

  • Internal Medicine Physician
  • Gig Harbor, WA
  • NPI 1730587981
  NPD (past)
• James W Long MD PC

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1578788014
  NPD (past)
• James W Long, MD, PC

  dba Oregon Eye Center

  • Optometrist
  • Salem, OR
  • NPI 1346339843

  Ophthalmology

  NPD (past)
• Oregon Eye Specialists PC

  dba The Sight Shop

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1770752321
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba Tacoma General Allenmore

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1275696056",
    "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",
            "fax_number": "253-509-0217"
        },
        {
            "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",
            "fax_number": "253-509-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Regents Blvd",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984665400",
            "country_code": "US",
            "telephone_number": "253-565-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PRESTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00044121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8404758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Suarez, RN
• Suburban Obsyetrics and Gynecology P.S.
• Jay Cummings Sullivan, D.O.
• Justine Elise Sullivan
• Kevin Jeremiah Sullivan, MD
• Shay Sullivan, MS CF-SLP
• Bryce K Sumida, DPT
• Buena Ruiz Sumilhig, PA-C
• Summit Health Management PLLC
• Kelly Anne Sumner

• Ophthalmology Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Ophthalmology Physician in Washington

• 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; 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.