Sullivan, Erin Cleary

Sullivan, Erin Cleary is an individual health care provider with primary practice located at 621 S New Ballas Rd Ophthalmology Consultants Ltd Ste 5006B, Saint Louis MO 63141-8232. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sullivan, Erin Cleary can be contacted via phone (314) 432-5478.

Contact Information

Primary practice address
621 S New Ballas Rd Ophthalmology Consultants Ltd Ste 5006B Saint Louis MO 63141-8232
Phone: (314) 432-5478
Fax: (314) 569-0864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2003015404 Missouri

Profile Details

NPI number 1205825080
LBN Legal business name Sullivan, Erin Cleary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jan 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205825080 NPPES
Missouri Other 182433 BCBS
Missouri Other 629885 BCBS

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