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Male or Other

Dr. Ryan S. Sullivan OD

Optometrist in Annapolis, MD(View on Map)

Full Name

Dr. Ryan Shaun Sullivan OD

NPI Number

1013661198

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/08/2022

Specialties

(Taxonomies)

Name

Optometrist

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

TA2842

Contact
Information

Purpose

Mailing
Location

Address

1950 OLD GALLOWS RD STE 520
2321 FOREST DR

City

Vienna
Annapolis

State

VA
MD

Postal Code

22182-3970
21401-4678

Country

US
US

Telephone Number

(703) 847-8899
(410) 266-3369

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/10/2022

Provider Address

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