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Active NPI 1700168333 Individual Practitioner Male Practitioner

Dr. Michael James Sullivan , OD

Optometrist • Potsdam, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sullivan, OD is a registered healthcare professional specializing in Optometrist in Potsdam, NY. Practice services are available at 59 ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

59 Elm St

Potsdam, NY 136761808

Telephone 3152657417
Fax 3152657417
Associated Practice Facility / Clinic
🏢 Dr James B Sullivan Facility NPI 1619262029

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Potsdam, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Potsdam, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV007119-1

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2011

Registered at 59 ELM ST, POTSDAM, NY 136761808 (Tel: 3152657417)

📍
Updated Business Mailing Address September 09, 2011

Registered at 125 MARTIN AVE. WEST, WINNIPEG, MANITOBA R2L 0B3 (Tel: 2046638744)

👤
Provider Name / Credentials Updated September 09, 2011

Recorded as MICHAEL SULLIVAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2011

Optometrist (License #TUV007119-1 in NY)

🟢
Initial NPI Registration & Enumeration September 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700168333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2011
Last Update: September 09, 2011
Sole Proprietor: Yes

Mailing Address

125 Martin Ave. West

Winnipeg, MANITOBA R2L 0B3

Phone: 2046638744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.