Garrett F. Sullivan OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2233 Issued in MA

Legal business name

GARRETT F. SULLIVAN OD

Practice address

34 Pope St
Hudson, MA 01749-2182

Phone

(978) 562-7976

Fax

(978) 562-4807

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Garrett F. Sullivan, ODNPI 1255363321

Title

Owner,Optometrist

Phone

(978) 562-7976

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garrett F. Sullivan, O.D.

  • Optometrist
  • Hudson, MA
  • NPI 1255363321
  NPD (past) Authorized official
• Daniel G Sullivan, OD

  • Optometrist
  • Hudson, MA
  • NPI 1811057441
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1982768651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 POPE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492182",
            "telephone_number": "978-562-7976",
            "fax_number": "978-562-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 POPE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492182",
            "telephone_number": "978-562-7976",
            "fax_number": "978-562-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT F. SULLIVAN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER,OPTOMETRIST",
        "authorized_official_telephone_number": "978-562-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "W20431",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764054",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Gandrup, LCSW
• Deborah A B Garagliano, PT
• Paul Michael Garagliano Jr., PTA/L,ATC
• Odemaris Garcia
• Courtney Garrahan
• Noelle Gaudino
• Ann Gawle
• Casssandra Gay
• Monica Gay
• Steven Gemboski

• Optometrist in Hudson, MA
• Providers in Hudson, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.