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Sullivan Eye Center, S.C.

Ophthalmology Physician in Appleton, WI · enumerated 2006 · authorized official Robert Sullivan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104919869

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Registry record

Entity type Organization (Type 2)
Legal business name Sullivan Eye Center, S.C.
Practice address 1195 N Casaloma Dr, Appleton, WI, 54913
Fax (920) 734-9054
Enumeration date Oct 2, 2006
Last updated in NPPES Sep 3, 2008

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 2483-035 (WI) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 2752-035 (WI) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 2681-035 (WI) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 18799 (WI) Primary

Authorized official

Name Robert Sullivan
Title President

Other identifiers

Identifier Type State Issuer
38455900 Medicaid WI -

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.

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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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-03.