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

Dr. Anthony Kash Sullenger, OD

Individual provider Optometrist · NPI 1205116217

Dr. Anthony Kash Sullenger, OD is an Optometry in Phoenix, Arizona. Graduated from Southern College of Optometry in 2011, 15 years ago. Practices with Pratt Vision LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
15
Trained at
Southern College of Optometry
Licensed in
AZ, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

15810 S 45th St Ste 150
Phoenix, AZ 85048-7655
Phone: (480) 706-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-001997 (AZ)
Optometrist Taxonomy 152W00000X · Licence 60240241 (WA)

Record details

NPI number1205116217
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 22, 2011
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Pratt Vision Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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