Joseph B. Sullivan, O.D. PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOSEPH B. SULLIVAN, O.D. PA

Practice address

8118 E Douglas Ave Ste 107
Wichita, KS 67206-2364

Phone

(316) 683-8204

Fax

(316) 683-8204

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Joseph B. Sullivan, OD

Title

Owner

Phone

(316) 683-8204

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie A Toon, OD

  • Optometrist
  • Wichita, KS
  • NPI 1740249341
  NPD
• Bruce Allen Kater, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1316939051
  NPD (past)

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1801487392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-683-8204",
            "fax_number": "316-683-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-683-8204",
            "fax_number": "316-683-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B. SULLIVAN, O.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-683-8204",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KansasInformationNetwork",
            "affiliation": "N",
            "endpointDescription": "Clearing housee",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8118 E Douglas Ave Ste 107",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672062364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca J Jordan, DC
• Robert Lynn Jordan, PT
• Meghan Elizabeth Jorgensen, APRN
• Skylar Kay Jorgenson, OTA
• Joseph B. Sullivan, O.D. PA
• Joseph G Baba DDS PA
• Joseph P Houlik, DDS, LLC
• Joseph R Tingey, DDS, PA
• Joseph R. Zenisek, MD, P.a.
• James Joseph Jr., M.D.

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.