Mitchell William Sullivan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2035-981AT Issued in LA

Practice address

118 South Dr
Natchitoches, LA 71457-5037

Phone

(318) 352-0444

NPI assigned

Jul 25, 2024

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

Medicare fee-for-service enrollment

Enrolled in LA

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 of Houston - College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexandria Eye and Laser Center LLCGroup PAC ID 4789641010, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

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.

• Alexandria Eye and Laser Center, LLC

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1538120985
  Medicare reassignment Care Compare group NPD
• Alexandria Eye and Laser Center, LLC

  • Eyewear Supplier
  • Oakdale, LA
  • NPI 1063285260
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Natchitoches Parish Hospital Service District

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1568897692

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1639243967
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Clinic/Center
  • Natchitoches, LA
  • NPI 1821414897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1972171072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1619705951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-487-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SOUTH DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575037",
            "telephone_number": "318-352-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MITCHELL",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2035-981AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Faye Stewart
• Cheryl Turyn Stoker, O.D.
• Luke Andrew Storrs, DPT
• Amanda Nichelle Strickland, PHARMD
• Stephen H Stricklin, PHARMD
• Katie Summerell, MA
• Angela Dawn Summerlin, CAC
• Summit OB GYN LLC
• Natalie Elizabeth Swick, ATC
• Sue Ann Taylor, PMHNP

• Optometrist in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.