Juliet Helene Sullivan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8385 Issued in MA

Practice address

870 Providence Hwy
Dedham, MA 02026-6806

Phone

(781) 329-0067

NPI assigned

Mar 23, 2026

Last updated

Jul 31, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

New England College of Optometry, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lickteig Family Eyecare PCGroup PAC ID 6002096328, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lickteig Family Eyecare PC

  • Optometrist
  • Dedham, MA
  • NPI 1063720498
  Care Compare group

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1346188109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACH 125TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266806",
            "telephone_number": "781-329-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JULIET",
        "middle_name": "HELENE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT8385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Rudolph Stuber
• Elizabeth Sturgeon, LICSW
• Edward T Sullivan
• Jennifer Marie Sullivan, OT/L
• Jill Sullivan
• Nicole Anne Sullivan, OTR/L
• Kortney Sumner, LCSW
• Xuefei Sun
• Sundry Care, LLC.
• Doneige Tanis Suprice, BSN, RN

• Optometrist in Dedham, MA
• Providers in Dedham, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.