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Search › Kentucky › 152WX0102X

Mark Sullivan, OD

NPI 1093400269 · on the registry since 2023

Practice

Address
4414 Shelbyville Rd Ste 204
Louisville, KY 40207
Phone
(504) 894-4434
Organisation at this address
Daniel L Weinberg Od Psc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152WX0102X
152WX0102X
Also registered as
152W00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky