Mary C Sullivan, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2688 Issued in AR

Practice address

2110 W Walnut St
Rogers, AR 72756-3246

Phone

(479) 636-8238

NPI assigned

Jul 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Mary C. Doss Former name

Medicare fee-for-service enrollment

Enrolled in AR

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boozman-Hof Regional Eye Clinic PAGroup PAC ID 4981628245, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.75 of 100Reported as group

Quality

99.17

Improvement activities

40

Cost

76.94

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msullivan@bhrec.intellechartdirect.net

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.

• Boozman-Hof Regional Eye Clinic PA

  • Ophthalmology Physician
  • Rogers, AR
  • NPI 1548234669

  Optometrist

  Medicare reassignment Care Compare group NPD
• Boozman-Hof Regional Eye Clinic

  • Optometrist
  • Rogers, AR
  • NPI 1356317473
  NPD (past)
• Boozman-Hof Regional Eye Clinic PA

  • Eyewear Supplier
  • Rogers, AR
  • NPI 1558320325
  NPD (past)

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1871935122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561839",
            "telephone_number": "479-659-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563246",
            "telephone_number": "479-636-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DOSS",
            "middle_name": "C.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Joseph Stuppy, MD
• Erica Ashton Sturgeon
• Carlos Alberto Suarez, MD
• Anna Suchy, OT
• Lindsey Suitt, LCSW
• Penny Sullivan, BENEFIT CORD
• Sean Sullivan, PHARM D
• Grace Sulzman
• Summit Family Counseling, Inc.
• Sunshine School & Development Center

• Optometrist in Rogers, AR
• Providers in Rogers, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.