Amy E Sullivan LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMY E SULLIVAN LLC

Practice address

1050 Hanson St
Winnemucca, NV 89445-2774

Phone

(775) 625-3937

Fax

(775) 625-3938

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy E Sullivan, ODNPI 1699050740

Title

Optometrist/Owner

Phone

(775) 625-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 5

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.

• Amy E Sullivan, OD

  • Optometrist
  • Winnemucca, NV
  • NPI 1699050740
  Medicare reassignment Care Compare group NPD Authorized official
• Mark D Michitsch, OD

  • Optometrist
  • Reno, NV
  • NPI 1043249394
  Medicare reassignment Care Compare group NPD
• Billy Gales Mendoza, O.D.

  • Optometrist
  • Reno, NV
  • NPI 1578874236
  Medicare reassignment NPD
• Howard Ho, OD

  • Optometrist
  • Ogema, MN
  • NPI 1235969072

  NV

  Medicare reassignment NPD
• Thomas David Gall, OD

  • Optometrist
  • Elko, NV
  • NPI 1083109151
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1720734155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HANSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894452774",
            "telephone_number": "775-625-3937",
            "fax_number": "775-625-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HANSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894452774",
            "telephone_number": "775-625-3937",
            "fax_number": "775-625-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY E SULLIVAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "775-625-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Movement & Wellness, LLC
• Affordable Emergency Medicine Solutions LTD
• Michelle Rae Aguilar
• Sarah Redannh Ambruster-Barber, MSN, FNP-BC
• Andrew J Conlu MD PLLC
• Mark Allen Andrews, M.D.
• Dylan Angus
• Julia Saray Arias-Rangel
• Jean Ellen Ashcraft-Pfarr, R.D.N., L.N.

• Optometrist in Winnemucca, NV
• Providers in Winnemucca, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.