DR. TARA L. SULLIVAN (NPI# 1518410133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518410133 |
| Entity Type | Individual |
| Full Name | DR. TARA L. SULLIVAN |
| Credential | O.D. |
| Practice Address |
245 Center St Auburn ME 04210-6169 |
| Practice Telephone | 2077862500 |
| Practice Fax Number | 2077862503 |
| Mailing Telephone | 2077862500 |
| Mailing Fax Number | 2077862503 |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5072 | MA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 193 Main St, Norway, ME 042685645 | 2077430027 | 2077430051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814456 | Tara Roberta Sullivan | Registered Nurse | 24808 Boston St, Dearborn, MI 48124-4411 | 2020-05-31 |
| 1205199601 | Tara Marie Sullivan | Specialist | 14911 12th Ave, Whitestone, NY 11357-1725 | 2012-06-20 |
| 1023202363 | Tara Marie Sullivan | Dentist | 1203 E Pine St, Seattle, WA 98122-3921 | 2007-08-29 |
| 1902853104 | Tara Sullivan | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2006-05-31 |
| Street Address |
245 CENTER ST |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-6169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083798938 | Beacon Hospice, LLC | Hospice Care, Community Based | 245 Center St, Suite 10a, Auburn, ME 04210-6169 | 2006-10-25 |
| 1033746227 | Montana Lynn Hopkins | Hearing Instrument Specialist | 245 Center St, Auburn, ME 04210-6169 | 2020-03-26 |
| 1063765691 | Custom Hearing | Hearing Aid Equipment | 245 Center St, Suite 3, Auburn, ME 04210-6169 | 2012-10-19 |
| 1265610307 | Avenir Ventures, L.L.C. | Specialist | 245 Center St, Suite 10a, Auburn, ME 04210-6169 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629523154 | Auburn Eye Care Associates Optometry South | Optometrist | 601 Auburn Folsom Rd Ste A, Auburn, CA 95603-5623 | 2016-08-25 |
| 1922474931 | Dennis Van Dinh Tran | Optometrist | 1105 Harvey Rd, Auburn, WA 98002-4219 | 2015-08-12 |
| 1700122504 | Ann Marie Spencer Daum | Optometrist | 333 Grant Avenue Rd, Auburn, NY 13021-8202 | 2012-12-26 |
| 1316292162 | Jeffrey Lucash Cohn | Optometrist | 48 Auburn St., Auburn, MA 01501-2438 | 2012-07-18 |
| 1336406453 | Michael J Cohn O.d. Pllc | Optometrist | 48 Auburn Street, Auburn, MA 01501 | 2012-04-13 |
| 1619249836 | East Alabama Eye Associates,inc. | Optometrist | 923 Stage Road, Suite A, Auburn, AL 36830-5112 | 2012-02-03 |
| 1124302682 | Visioncare of California Inc. | Optometrist | 12124 New Airport Rd, Auburn, CA 95603-2522 | 2011-10-03 |
| 1033498910 | Sally Toy | Optometrist | 3126 Professional Dr Ste 300, Auburn, CA 95603-2412 | 2011-08-10 |
| 1750679213 | Hartley Nichols Eye Care, LLC | Optometrist | 518 Sherwood Dr, Auburn, AL 36830-6035 | 2011-07-19 |
| 1831424928 | Aaron Crain | Optometrist | 921 Harvey Road, Suite A, Auburn, WA 98002 | 2009-10-07 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.