Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Matthew Ryan Sullivan, OD
Optometrist in Prescott, AZ · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053311472
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Registry record
Entity type Individual (Type 1)
Name Dr. Matthew Ryan Sullivan
Credential OD
Sex Male
Practice address 980 Willow Creek Road, Suite 202, Prescott, AZ, 86301
Phone (928) 778-3937
Fax (928) 778-3939
Enumeration date Jul 28, 2005
Last updated in NPPES Jan 2, 2014
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053311472 | Other | AZ | INDIVIDUAL NPI |
| 410045761 | Other | AZ | RAILROAD |
| 1285813360 | Other | AZ | GROUP NPI |
| 64294 | Other | AZ | MEDICARE GROUP NUMBER |
| 1102 | Other | AZ | STATE LICENSE |
| 620353 | Medicaid | AZ | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Matthew Sullivan's NPI record?
Cross-check NPI 1053311472 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1053311472 active?
Yes, as of the latest NPPES snapshot, NPI 1053311472 is active (record last updated 2014-01-02).
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-02.