Ryan Shaun Sullivan, OD

Optometrist · Annapolis, MD

Individual Active NPI

NPI number 1013661198

Practice location

2321 Forest Dr
Annapolis, MD 21401-4678
Phone
(410) 266-3369

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NPI record

NPI
1013661198
Entity type
Individual (Type 1)
Enumeration date
February 8, 2022
Last updated
February 10, 2022
Certified
February 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X TA2842 MD

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone
(703) 847-8899

About Dr. Sullivan

Ryan Shaun Sullivan, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2321 Forest Dr, Annapolis, MD 21401-4678. The NPI number 1013661198 was assigned on February 8, 2022 and the record was last updated on February 10, 2022.

Dr. Sullivan lists a license in the registry: #TA2842 (MD) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Shaun Sullivan, OD?

The NPI number is 1013661198.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (410) 266-3369.

Where is Dr. Sullivan located?

2321 Forest Dr, Annapolis, MD 21401-4678.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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