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

Dr. Jenna Lelsey Sullivan, OD

Individual provider Optometrist · NPI 1366936932

Dr. Jenna Lelsey Sullivan, OD is an Optometry in Kaukauna, Wisconsin. Qualified in 2018, 8 years ago. Practices with Magiera Eyecare LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
8
Licensed in
FL, WI
In the registry since
2018
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

1 Bank Ave
Kaukauna, WI 54130-2581
Phone: (920) 766-2481
Show map & directions

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

Additional practice locations (1)

  • N1739 Lily Of The Valley Dr Ste 2, Greenville, WI 54942-9104 — (920) 560-3937

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3564-35 (WI)
Optometrist Taxonomy 152W00000X · Licence OPC5544 (FL)

Record details

NPI number1366936932
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 18, 2018
Last updated in NPPESJuly 2, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Magiera Eyecare Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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