Robert Lee Sullivan O.D.

NPI 1023018041 - Optometrist - 152W00000X

NPI Details
NPI 1023018041
Gender Male
Enumeration Date 08/01/2005
Last Updated 03/12/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2325 ABERDEEN BLVD
SUITE A
GASTONIA NC, 28054-0614, US
Phone (704) 853-3937
Fax (704) 853-0840
Business Location
2325 ABERDEEN BLVD
SUITE A
GASTONIA NC, 28054-0614, US
Phone (704) 853-3937
Fax (704) 853-0840
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1401
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According to our database, Dr. Robert Lee Sullivan O.D. NPI is 1023018041, taxonomy code is 152W00000X and license number is 1401, license state is located at North Carolina. Robert Lee Sullivan O.D. physically located at 2325 Aberdeen Blvd, Gastonia NC, 28054-0614. NPI Number Robert Lee Sullivan O.D. has the Individual type.

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1023018041 NPI number is provided on an as is basis without warranty of any kind. 1023018041 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Lee Sullivan O.D. are for informational purposes only.