Matthew R Sullivan Od
NPI 1285813360ActiveOrganization· Optometrist· Prescott, AZ
Optometrist in Prescott, Arizona, registered in NPPES in October 2007. The authorized official on file is Matthew Ryan Sullivan, OD, Od. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1285813360 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2007 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1102 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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