Earl J Sullivan, ABOC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

006342-1 Issued in NY

Practice address

135 County Highway 128
Johnstown, NY 12095-3823

Phone

(151) 876-2020

NPI assigned

Feb 2, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John R. Kearney, MD, Eye Physician & Surgeon, PC

  • Ophthalmology Physician
  • Johnstown, NY
  • NPI 1336197011
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861530800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COUNTY HIGHWAY 128",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953823",
            "telephone_number": "151-876-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COUNTY HIGHWAY 128",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953823",
            "telephone_number": "151-876-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "EARL",
        "middle_name": "J",
        "credential": "ABOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006342-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nichole Spritzer
• St. Mary'S Healthcare
• St. Mary'S Healthcare
• Nicole Stock
• Rebecca Streeter, OTD, OTR/L
• Robert S Sullivan Jr., RPH
• Amanda Sweet, RN
• Tamara Lyn Dunlap DDS PLLC
• Jeanette J M Tinney, PHN
• Emma Katherine Vaccaro, OTR/L

• Optician in Johnstown, NY
• Providers in Johnstown, NY by specialty
• Optician in New York

• 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.

Verify at the official NPI Registry.