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

Dr. Regina McCollum Sullivan, OD

Individual provider Optometrist · NPI 1336199413

Dr. Regina McCollum Sullivan, OD is an Optometry in Norcross, Georgia. Graduated from Southern College of Optometry in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
29
Trained at
Southern College of Optometry
Licensed in
GA
In the registry since
2006
Specialties on file
4
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

1560 Indian Trail Rd Ste 108
Norcross, GA 30093-2613
Phone: (770) 923-1011
Fax: (770) 923-1041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence GA1647 (GA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence GA1647 (GA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence GA1647 (GA)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence GA1647 (GA)

Record details

NPI number1336199413
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESMarch 3, 2008

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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