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Matthew R Sullivan Od

Optometrist in Prescott, AZ · enumerated 2007 · authorized official Matthew Sullivan, Od.

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

National Provider Identifier

1285813360

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Registry record

Entity type Organization (Type 2)
Legal business name Matthew R Sullivan Od
Other name <Unavail>
Practice address 980 Willow Creek Road, Suite 202, Prescott, AZ, 86301
Phone (928) 778-3937
Fax (928) 778-3939
Enumeration date Oct 25, 2007
Last updated in NPPES May 19, 2026

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1102 (AZ) Primary

Authorized official

Name Matthew Sullivan
Title Od
Phone (928) 778-3937

Other identifiers

Identifier Type State Issuer
4244670001 Other AZ DMERC
578966 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.

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Frequently asked questions

What is the NPI number for Matthew R Sullivan Od?
The NPI for Matthew R Sullivan Od is 1285813360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Matthew R Sullivan Od?
NPPES lists Matthew Sullivan (Od) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-19.