Organization Active NPI

Dr. Veronica B. Sullivan, OD, PLLC

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1538482971
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001512 Issued in VA
Legal business name
DR. VERONICA B. SULLIVAN, OD, PLLC
Practice address
838 Old George Washington Hwy N
#R
Chesapeake, VA 23323-2209
Phone
(757) 558-8439
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Veronica Butrese Sullivan, OD
Title
Owner
Phone
(757) 818-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001512 VA Primary

Addresses

Primary practice location

838 Old George Washington Hwy N
#R
Chesapeake, VA 23323-2209

Mailing address

838 Old George Washington Hwy N
#R
Chesapeake, VA 23323-2209
Phone (757) 558-8439

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1538482971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 OLD GEORGE WASHINGTON HWY N",
            "address_2": "#R",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232209",
            "telephone_number": "757-558-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 OLD GEORGE WASHINGTON HWY N",
            "address_2": "#R",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232209",
            "telephone_number": "757-558-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VERONICA B. SULLIVAN, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "BUTRESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-818-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.