MICHAEL G. SULLIVAN M.D. – NPI #1639161912
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

MICHAEL SULLIVAN is an ophthalmologist located in MOUNT PLEASANT, MI. NPPES has assigned the NPI number 1639161912 to MICHAEL SULLIVAN on August 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 15 years ago on Jul 27, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL SULLIVAN below.

NPI Profile for
MICHAEL G. SULLIVAN

NPI Number
1639161912
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL G. SULLIVAN
Credentials
M.D.
Primary location
1535 E. BROOMFIELD
SUITE A
MOUNT PLEASANT, MI 48858
Phone: (989) 772-3339 Fax: (989) 772-4846
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL SULLIVAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSE NUMBERMIMS039558
MEDICAIDMI1625778
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
MI MS039558

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.