| Sullivan Family Eye Care P C | |
|
117 S Main St, Sullivan, IN 47882-1804 | |
| (812) 268-4700 | |
| (812) 268-4701 |
| Full Name | Sullivan Family Eye Care P C |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 117 S Main St, Sullivan, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932286374 | NPI | - | NPPES |
| 200440140 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003075 (Indiana) | Primary |
| Provider Name | William H Jones Jr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467448845 PECOS PAC ID: 8022141019 Enrollment ID: I20100728000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Family Eye Care P C 117 S Main St, Sullivan, IN 47882-1804 Ph: (812) 268-4700 | Sullivan Family Eye Care P C 117 S Main St, Sullivan, IN 47882-1804 Ph: (812) 268-4700 |
Steven R Anderson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 114 S Court St, Sullivan, IN 47882 Phone: 812-268-4668 Fax: 812-268-4668 | |
William Harold Jones Jr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 117 S Main St, Sullivan, IN 47882 Phone: 812-268-4700 Fax: 812-268-4701 |