Dr. Ryan Shaun Sullivan
Optometrist
2321 Forest Dr
Annapolis
, Maryland 21401-4678
Dr. Ryan Shaun Sullivan
Optometrist
2321 Forest Dr
Annapolis
, Maryland 21401-4678
(703) 847-8899
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Ryan Shaun Sullivan
- 1950 Old Gallows Rd Ste 520
- Vienna, VA
- Zip : 22182-3970
- Phone : (703) 847-8899
Second Address
- Dr. Ryan Shaun Sullivan
- 2321 Forest Dr
- Annapolis, MD
- Zip : 21401-4678
- Phone : (410) 266-3369
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA2842 | MD |
National Provider Identifier
| NPI | 1013661198 |
|---|---|
| Provider Name | Dr. Ryan Shaun Sullivan |
| First Address | Vienna, VA 22182-3970 |
| Second Address | Annapolis, MD 21401-4678 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2022 |
| Last Update Date | 10/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.