Katharine Diresta Sullivan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4433 Issued in MA

Practice address

680 Main St
Haverhill, MA 01830-2644

Phone

(978) 374-4258

NPI assigned

Jan 23, 2009

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

Enrolled in MA

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

New England College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Watts Eye Associates LLCGroup PAC ID 1557576881, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Watts Eye Associates LLC

  • Optometrist
  • Newburyport, MA
  • NPI 1952426280
  Medicare reassignment Care Compare group NPD
• Glenn P Kimball

  • Ophthalmology Physician
  • Haverhill, MA
  • NPI 1689857328
  NPD (past)
• Retina Specialists of Boston, Inc.

  • Ophthalmology Physician
  • Cambridge, MA
  • NPI 1952535726
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1598903833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302644",
            "telephone_number": "978-374-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302644",
            "telephone_number": "978-374-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHARINE",
        "middle_name": "DIRESTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Streeter, LMT,CCMT
• Anna Christine Stuart
• Danielle Sugrue, N.P.
• Barbara Ann Sullivan, RN
• Julia Sullivan
• Matthew Sullivan
• Ryan Sullivan, NP
• Summer Street Dental, P.C.
• Sydney Fallon Sunnerberg, DPT
• Charu Swamy, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.