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

Individual provider Optometrist · NPI 1053311472

Dr. Matthew Ryan Sullivan, OD is an Optometry in Prescott, Arizona. Graduated from University Alabama Birmingham - School of Optometry in 2000, 26 years ago. Practices with Matthew R Sullivan OD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
AZ
In the registry since
2005
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

980 Willow Creek Rd Ste 202
Prescott, AZ 86301-1610
Phone: (928) 778-3937
Fax: (928) 778-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1102 (AZ)

Record details

NPI number1053311472
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESJanuary 2, 2014

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2000 (26 years in practice)
Group practice Matthew R Sullivan Od Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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