National Provider Identifier
Mary Veronica Sullivan, OPTICIAN
Mary Veronica Sullivan, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in West Seneca, NY and a listed phone number of (716) 674-8300.
Profile Overview
- NPI
- 1598844730
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- November 06, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3768 Seneca Street
- West Seneca, NY 14224
Phone: (716) 674-8300
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1598844730
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Mary
- Middle Name
- Veronica
- Name Prefix
- MS.
- Credential
- OPTICIAN
- Mailing Street Address
- 3768 Seneca Street
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224
- Mailing Country
- US
- Mailing Phone
- (716) 674-8300
- Mailing Fax
- (716) 674-8302
- Practice Street Address
- 3768 Seneca Street
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224
- Practice Country
- US
- Practice Phone
- (716) 674-8300
- Practice Fax
- (716) 674-8302
- Enumeration Date
- November 06, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)
- Other Identifiers
- NY3846 (NY, Eyemed)