ANNAMARIE SULLIVAN (NPI# 1740620673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740620673 |
Entity Type | Individual |
Full Name | ANNAMARIE SULLIVAN |
Credential | O.D. |
Practice Address |
611 E Adams St Jacksonville FL 32202-2847 |
Practice Telephone | 9045599025 |
Mailing Telephone | 9045599025 |
Mailing Fax Number | 9048613899 |
Enumeration Date | 2013-06-25 |
Last Update Date | 2019-02-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC5170 | FL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA DOH OPTOMETRY LICENSE | OPC5170 | 01 |
FL | BCBS | SIOKG | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
850 6th Ave S Ste 500, Jacksonville Beach, FL 322504200 | 9042243550 |
Street Address |
611 E ADAMS ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32202-2847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114987666 | Richard Cull Christensen | Psychiatry & Neurology | 611 E Adams St, Jacksonville, FL 32202-2847 | 2006-03-27 |
1659927358 | Mohammad Loay Alkabra | Dentist | 611 E Adams St, Jacksonville, FL 32202-2847 | 2019-08-18 |
1780238345 | Janice Laverne Owens | Counselor | 611 E Adams St, Jacksonville, FL 32202-2847 | 2019-07-31 |
1104484096 | Patrick Sean Moltmaker | Nurse Practitioner | 611 E Adams St, Jacksonville, FL 32202-2847 | 2019-06-05 |
1992223408 | Jarrell Martin | Nurse Practitioner | 611 E Adams St, Jacksonville, FL 32202-2847 | 2017-09-05 |
1972996510 | Kathryn Hill | Nurse Practitioner | 611 E Adams St, Jacksonville, FL 32202-2847 | 2015-03-06 |
1548687361 | Patrick Finn | Social Worker | 611 E Adams St, Jacksonville, FL 32202-2847 | 2014-03-19 |
1619307014 | Brian Snow | Social Worker | 611 E Adams St, Jacksonville, FL 32202-2847 | 2013-11-21 |
1568892974 | Nordeka Hall | Social Worker | 611 E Adams St, Jacksonville, FL 32202-2847 | 2013-11-21 |
1972895126 | Peggy Hoff | Nurse Practitioner | 611 E Adams St, Jacksonville, FL 32202-2847 | 2011-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
1801376629 | Shelletta Baker | Home Delivered Meals | 303 N Laura St, Jacksonville, FL 32202 | 2018-08-21 |
1083132591 | Shelia Yvonne Newby | Home Health Aide | 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 | 2017-09-05 |
1164728010 | Dina Maria Fedor | Nurse Practitioner | 500 E Adams St, Jacksonville, FL 32202 | 2011-02-09 |
1689695611 | Maryam M Pasha | Emergency Medicine | 221 N. Hogan St, 401, Jacksonville, FL 32202 | 2006-07-23 |
1629174917 | Jose A Santana | Internal Medicine | 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 | 2006-09-15 |
1518197912 | Pleasant Living Facility, Inc. | Assisted Living Facility | 1543 Hill St, Jacksonville, FL 32202-1405 | 2009-07-20 |
1083803647 | Pleasant Living Facility Inc | Assisted Living Facility | 1543 Hill Street, Jax, FL 32202-1405 | 2007-10-19 |
1982003745 | Sheila Freeman | Social Worker | 300 E State St, Jacksonville, FL 32202-1601 | 2014-08-18 |
1861999625 | Bianca Holcombe | Counselor | 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 | 2018-04-09 |
Find all providers in zip 32202 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215553367 | Myeyedr Optometry of Florida, LLC | Optometrist | 2152 3rd St S # 60, Jacksonville, FL 32250-4019 | 2020-06-24 |
1154945814 | Kaitlin Jaquett Brown | Optometrist | 4788 Hodges Blvd Ste 205, Jacksonville, FL 32224-7223 | 2020-05-29 |
1831745660 | National Vision Inc | Optometrist | 14021 Lunar Drive, Unit 1, Jacksonville, FL 32218-7290 | 2019-08-16 |
1144876475 | Myeyedr Optometry of Florida, LLC | Optometrist | 11945 San Jose Blvd Ste 202, Jacksonville, FL 32223-1612 | 2019-08-13 |
1295294742 | Myeyedr Optometry of Florida, LLC | Optometrist | 13760 Old Saint Augustine Rd Ste 102, Jacksonville, FL 32258-5492 | 2019-03-14 |
1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
1356820211 | Nisha Patel | Optometrist | 10300 Southside Blvd Ste 114, Jacksonville, FL 32256-6759 | 2018-08-11 |
1538650155 | Vision Today Pllc | Optometrist | 9365-2 Atlantic Blvd, Jacksonville, FL 32225-8203 | 2018-05-21 |
1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
1851806657 | Ann Huynh Nguyen | Optometrist | 9041 Southside Blvd Ste 174, Jacksonville, FL 32256-8482 | 2017-12-04 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32202 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.