Steve Luttrell Sullins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-761-TA-167 Issued in AL

Practice address

104 Gin Oaks CT
Madison, AL 35758-1736

Phone

(256) 464-6670

Fax

(256) 464-6671

NPI assigned

Jul 27, 2005

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

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

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Sullins Eye Care Center, Inc.

  • Optometrist
  • Huntsville, AL
  • NPI 1194909721
  Medicare reassignment NPD
• Sullins Eye Care Center, Inc.

  • Optometrist
  • Madison, AL
  • NPI 1578744868
  NPD

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1740280205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GIN OAKS CT",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581736",
            "telephone_number": "256-464-6670",
            "fax_number": "256-464-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GIN OAKS CT",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581736",
            "telephone_number": "256-464-6670",
            "fax_number": "256-464-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLINS",
        "first_name": "STEVE",
        "middle_name": "LUTTRELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-761-TA-167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051525296",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "K232",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "G900",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA PROVIDER",
            "identifier": "51525294",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA PROVIDER",
            "identifier": "51525296",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Stricklin, LICSW
• Stronger Together Relationship Counseling, LLC
• Jennifer Strother, CFN
• William Ray Stroud III, MD
• Sullins Eye Care Center, Inc.
• Sullivan Medical, LLC
• Alicia Monique Sullivan-Smith, LMHC
• Rachel Renay Sullivan
• Veronica Harkness Sullivan, PMHNP-BC, DNP
• Drew Matthew Sumrall, DDS

• Optometrist in Madison, AL
• Providers in Madison, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.