Sullivan Eye Center, S.C.

Sullivan Eye Center, S.C. is a healthcare organization registered as Ophthalmology Physician in Appleton, WI, holding Type 2 (organization) NPI 1104919869 since 2006. The authorized official on file is Robert Sullivan, President.

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NPI	1104919869
Entity type	Organization (Type 2)
Legal business name	Sullivan Eye Center, S.C.
Practice address	1195 N CASALOMA DR, Appleton, WI, 54913
Phone	9207340400
Fax	9207349054
Enumeration date	2006-10-02
Last updated in NPPES	2008-09-03

Authorized official

Name	Robert Sullivan
Title	President
Phone	9207340400

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Secondary	2483-035	WI
152W00000X	Optometrist	Secondary	2752-035	WI
152W00000X	Optometrist	Secondary	2681-035	WI
207W00000X	Ophthalmology Physician	Primary	18799	WI

Other identifiers

Identifier	Type	State	Issuer
38455900	Medicaid	WI	—

Copy-ready billing details

Provider: Sullivan Eye Center, S.C.
NPI: 1104919869
Taxonomy: 207W00000X (Ophthalmology Physician)
Address: 1195 N CASALOMA DR, Appleton, WI, 54913

Providers at this address

NPI	Name	Type	Specialty	Location
1447347190	Robert Sullivan	Individual	Ophthalmology Physician	Appleton, WI
1770612269	Herslof'S, Inc	Organization	Optician	Appleton, WI

Verify this record

Cross-check NPI 1104919869 against the authoritative CMS record: view Sullivan Eye Center, S.C. on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-09-03. Verify at npiregistry.cms.hhs.gov.

Where is Sullivan Eye Center, S.C. located?

The practice location on file with NPPES is in Appleton, WI.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-09-03.