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Michael Sullivan, OD
NPI 1700168333 · Optometrist · Potsdam, NY
Michael Sullivan, OD is a Optometrist provider in Potsdam, NY (NPI 1700168333).
Provider details
- NPI number
- 1700168333
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- TUV007119-1 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
59 Elm St
Potsdam, NY 13676-1808
Phone: (315) 265-7417
Fax: (315) 265-7417
Approximate (ZIP-level) locationGet directions
Mailing address
125 Martin Ave. West
Winnipeg, MANITOBA 203
Registry dates
- Enumerated
- 2011-09-09
- Last updated
- 2011-09-09
Frequently asked questions
- What is Michael Sullivan's NPI number?
- Michael Sullivan's National Provider Identifier (NPI) is 1700168333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Sullivan's specialty?
- Michael Sullivan is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Michael Sullivan located?
- Michael Sullivan's practice location on file with NPPES is 59 Elm St, Potsdam, NY 13676-1808.
- What is Michael Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Michael Sullivan is (315) 265-7417.
- Is Michael Sullivan's NPI active?
- Yes — Michael Sullivan's NPI (1700168333) is active in the NPPES registry as of the last update on 2011-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.