Mitchell William Sullivan, OD | |
118 South Dr, Natchitoches, LA 71457-5037 | |
(318) 352-0444 | |
Not Available |
Full Name | Mitchell William Sullivan |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 118 South Dr, Natchitoches, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619705951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2035-981AT (Louisiana) | Primary |
Provider Name | Alexandria Eye And Laser Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538120985 PECOS PAC ID: 4789641010 Enrollment ID: O20041217000427 |
Mailing Address | Practice Location Address |
---|---|
Mitchell William Sullivan, OD 118 South Dr, Natchitoches, LA 71457-5037 Ph: (318) 352-0444 | Mitchell William Sullivan, OD 118 South Dr, Natchitoches, LA 71457-5037 Ph: (318) 352-0444 |
Dr. Randall Denison Keator Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 140 E 5th St, Natchitoches, LA 71457 Phone: 318-357-8194 Fax: 318-352-3145 | |
Randall Keator, Ii, O.d., Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 E 5th St, Natchitoches, LA 71457 Phone: 318-357-8194 Fax: 318-352-3145 | |
Dr. Pete Wardell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 946 Keyser Ave, Natchitoches, LA 71457 Phone: 318-357-8194 Fax: 318-357-3145 | |
Dr. Cheryl Turyn Stoker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 118 South Dr, Natchitoches, LA 71457 Phone: 318-352-0444 Fax: 318-352-6860 | |
Karen Dumesnil, DO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 946 Keyser Ave, Natchitoches, LA 71457 Phone: 318-357-8194 Fax: 318-352-3145 |