Anthony Kash Sullenger (NPI# 1205116217, PAC ID# 4688835069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1205116217 |
| PAC ID by PECOS | 4688835069 |
| Professional Enrollment ID | I20141211001543 |
| Full Name | Anthony Kash Sullenger |
| Organization Legal Name | PRATT VISION LLC |
| Address |
3961 E Chandler Blvd 106 Lifetime Eye Care Phoenix AZ 85048-0303 |
| Phone Number | 4807063060 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2062659089 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3961 E Chandler Blvd, 106 Lifetime Eye Care, Phoenix, AZ 85048-0303 | 4807063060 | PRATT VISION LLC |
| Organization Legal Name | PRATT VISION LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murray S Pratt | Optometry | Pratt Vision LLC | 3961 E Chandler Blvd, 106 Lifetime Eye Care, Phoenix, AZ 85048-0303 |
| Street Address |
3961 E CHANDLER BLVD 106 LIFETIME EYE CARE |
| City | PHOENIX |
| State | AZ |
| Zip | 85048-0303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murray S Pratt | Optometry | Pratt Vision LLC | 3961 E Chandler Blvd, 106 Lifetime Eye Care, Phoenix, AZ 85048-0303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie C Goodrum | Nurse Practitioner | Take Care Health Arizona PC | 3960 E Chandler Blvd, Phoenix, AZ 85048-0300 |
| Vicky L Davis | Nurse Practitioner | Take Care Health Arizona PC | 3960 E Chandler Blvd, Phoenix, AZ 85048-0300 |
| Sarah Locke | Nurse Practitioner | Take Care Health Arizona PC | 3960 E Chandler Blvd, Phoenix, AZ 85048-0300 |
| Ansen D Blair | Physician Assistant | Take Care Health Arizona PC | 3960 E Chandler Blvd, Phoenix, AZ 85048-0300 |
| Carol D Moffett | Nurse Practitioner | Take Care Health Arizona PC | 3960 E Chandler Blvd, Phoenix, AZ 85048-0300 |
| Kelly Desimone | Optometry | 15725 S 46th St, Suite 112, Phoenix, AZ 85048-0443 | |
| Michael J De Rubeis | Optometry | 16515 S 40th St, Suite 111, Phoenix, AZ 85048-0559 | |
| Shari R Webster | Chiropractic | 16515 S 40th St, Suite 103, Phoenix, AZ 85048-0559 | |
| Daniel M Pacheco | Internal Medicine | 16515 S 40th St, Suite 119, Phoenix, AZ 85048-0559 | |
| John S Mettham | Chiropractic | 16515 S 40th St, Suite 129, Phoenix, AZ 85048-0560 | |
| Find all physicians in zip 85048 | |||
| City | PHOENIX |
| Zip Code | 85048 |
| Specialty | OPTOMETRY |
| City + Specialty | PHOENIX + OPTOMETRY |
Please comment or provide details below to improve the information on Anthony Kash Sullenger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.