William David Sullins III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T1722 Issued in TN

Practice address

517 N Jackson St
Athens, TN 37303-3621

Phone

(423) 745-4910

Fax

(423) 745-2230

NPI assigned

Jun 21, 2005

Last updated

Jan 12, 2010By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 Alabama Birmingham - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sullins Eye Care P.C.Group PAC ID 9436241304, 5 clinicians

Practice addresses (Care Compare)

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

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.

• Sullins Eye Care P.C.

  dba Sullins Eye Care

  • Optometrist
  • Athens, TN
  • NPI 1841351269
  Medicare reassignment Care Compare group
• Sullins Eye Care P.C.

  • Optometrist
  • Madisonville, TN
  • NPI 1720142771
  NPD
• Athens Eye Care Center, P.C.

  • Optometrist
  • Athens, AL
  • NPI 1881781268
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1306842729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N JACKSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033621",
            "telephone_number": "423-745-4910",
            "fax_number": "423-745-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N JACKSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033621",
            "telephone_number": "423-745-4910",
            "fax_number": "423-745-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLINS",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T1722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064008",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sullins Eye Care P.C. (Sullins Eye Care)
• Christa H Sullins, OD
• Katherine Petrinjak Sullins, OD
• Stuart Sullins, O.D.
• Timothy Blake Sullins, OD
• Michael P Sumida, M.D.
• Summit Medical Group, PLLC (Athens Medical Group)
• Daniel Surman
• Suncica Sunshine Svalina, DPT
• Abby Swaim, RDH

• Optometrist in Athens, TN
• Providers in Athens, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.