Active NPI
Barry Sultan, OD
- Optometrist
- Lancaster, CA
National Provider Identifier
1821128240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5469TPL
- Practice address
- 1739 W Avenue J
Lancaster, CA 93534-2703 - Phone
- (661) 945-4502
- Fax
- (661) 945-4841
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5469TPL | CA | Primary |
Addresses
Primary practice location
1739 W Avenue J
Lancaster, CA 93534-2703
Mailing address
1739 West Avenue J
Lancaster, CA 93534
Phone (661) 945-4502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5469TPL | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821128240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 WEST AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-945-4502",
"fax_number": "661-945-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342703",
"telephone_number": "661-945-4502",
"fax_number": "661-945-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "BARRY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5469TPL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
- Andrea Stutelberg, PT
- Karl S Stutelberg, MSPT
- Michelle Josephine Suarez Newbrey, RPT
- Omar Hisham Baker Sudqi, B.D.S.
- Olabisi B Sule-Odu
- Jerry Earl Summers
- Yolanda Summers
- Sunbeam,LLC. (Stonebridge Manor)
- Sunder Medical Clinic Inc
- Sunder Medical Clinic, Inc. (Sunder Heart Institute & Vascular Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.