Sarah Sullivan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005725 Issued in MI

Practice address

4555 Wilson Ave SW
Grandville, MI 49418-2370

Phone

(616) 249-8490

Fax

(616) 249-3129

NPI assigned

Jul 19, 2016

Last updated

Oct 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sarah Sullivan Professional name

Medicare fee-for-service enrollment

Enrolled in GA, MI2 enrollments

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 2

Specialty

Optometry

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: ssullivan@teg.emadirect.md

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.

• Blue Sky Vision Eye Care, P.C

  dba Grand Rapids Ophthalmology

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202

  Optometrist

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment Care Compare group NPD
• Thomas Eye Group PC

  dba Thomas Eye Group

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1548271992

  Optometrist

  Medicare reassignment NPD
• Blue Sky Vision Eye Care, PC

  dba Tukel Eye Center

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  NPD
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Macomb, MI
  • NPI 1023740131
  NPD
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD
• Thomas Eye Group PC

  dba Thomas Eye Group

  • Ophthalmology Physician
  • Newnan, GA
  • NPI 1023128394
  NPD
• Thomas Eye Group PC

  dba Thomas Eye Group

  • Optometrist
  • Stone Mountain, GA
  • NPI 1043032840
  NPD
• MC DO Optometry LLC

  • Optometrist
  • Dallas, GA
  • NPI 1255984423
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1437502044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182370",
            "telephone_number": "616-249-8490",
            "fax_number": "616-249-3129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Beltline Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495256049",
            "country_code": "US",
            "telephone_number": "616-949-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005725",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SULLIVAN",
            "prefix": "MS.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chloe Still, PHARMD
• Barbara Stine, MA, CCC-SLP, TSLI
• Christopher Joseph Stock, M.D.
• David M Strand, DDS,MS
• Lori Strehler, LMSW
• Patrick J Sundt, LMSW
• Sunset Manor, Inc. (Brookcrest)
• Suppression Expression Counseling, LLC
• Jessamine Sutherlin
• Ella Suttenberg

• Optometrist in Grandville, MI
• Providers in Grandville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.