Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447347190 Individual Practitioner Male Practitioner

Dr. Robert D Sullivan , MD

Ophthalmology • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Robert Sullivan, MD is a registered healthcare professional specializing in Ophthalmology in Appleton, WI. Practice services are available at 1195 N CASALOMA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1195 N Casaloma Dr

Appleton, WI 549139295

Telephone 9207340400
Fax 9207349054
Associated Practice Facility / Clinic
🏢 Sullivan Eye Center, S.c. Facility NPI 1104919869

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Appleton, WI (464 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

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 18799

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30125300 (WI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2008

Registered at 1195 N CASALOMA DR, APPLETON, WI 549139295 (Tel: 9207340400)

📍
Updated Business Mailing Address February 19, 2008

Registered at 1195 N CASALOMA DR, APPLETON, WI 549139295 (Tel: 9207340400)

👤
Provider Name / Credentials Updated February 19, 2008

Recorded as ROBERT SULLIVAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Ophthalmology (License #18799 in WI)

🟢
Initial NPI Registration & Enumeration October 06, 2006

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: 1447347190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: February 19, 2008
Sole Proprietor: Yes

Mailing Address

1195 N Casaloma Dr

Appleton, WI 549139295

Phone: 9207340400

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.