Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sullivan Eye Center, SC

Organization Optometrist · NPI 1104919869

Sullivan Eye Center, SC is an Optometrist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

1195 N Casaloma Dr
Appleton, WI 54913-9295
Phone: (920) 734-0400
Fax: (920) 734-9054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 18799 (WI)
Optometrist Taxonomy 152W00000X · Licence 2483-035 (WI)
Optometrist Taxonomy 152W00000X · Licence 2752-035 (WI)
Optometrist Taxonomy 152W00000X · Licence 2681-035 (WI)

Record details

NPI number1104919869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Sullivan — President · (920) 734-0400
NPI enumeratedOctober 2, 2006
Last updated in NPPESSeptember 3, 2008
Mailing address1195 N Casaloma Dr, Appleton, WI 54913-9295

Other providers in Appleton