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

Dr. John M. Sullivan, MDPHD

Individual provider Ophthalmology Physician · NPI 1770694499

Dr. John M. Sullivan, MDPHD is an Ophthalmology in Buffalo, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1987, 39 years ago. Practices with University Ophthalmology Services Inc, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2006

Practice location Address checks out

3495 Bailey Ave Bldg 20 MS151 VA Wny Healthcare System
Buffalo, NY 14215-1129
Phone: (716) 862-6533
Fax: (716) 862-6526
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 207651 (NY)

Record details

NPI number1770694499
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address175 Kenton Pl, Hamburg, NY 14075-4309

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1987 (39 years in practice)
Group practice University Ophthalmology Services Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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