DR. JOHN P SULLIVAN MD NPI 1619977345

NPI Information

  • NPI: 1619977345
  • Provider Name: DR. JOHN P SULLIVAN, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7740 POINT MEADOWS DR
    SUITE 3A
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 527-3577

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NPI Details

DR. John P Sullivan, MD is an ophthalmology in Jacksonville, FL with 38 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. John P Sullivan, MD NPI is 1619977345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

7740 POINT MEADOWS DR
SUITE 3A
JACKSONVILLE, FL
ZIP 32256-179
Phone: (904) 527-3577
Fax: (904) 527-3514

The NPI 1619977345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Injection of drug into eye (HCPCS:67028)
  • Compounded drug, not otherwise classified (HCPCS:J7999)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, dexamethasone, intravitreal implant, 0.1 mg (HCPCS:J7312)
  • Photography of the retina (HCPCS:92250)
  • New patient complete exam of visual system (HCPCS:92004)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Destruction of growth of retina using a laser (HCPCS:67210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)
  • Removal of membrane of retina (HCPCS:67041)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
  • Injection of drug or substance into membrane covering eyeball (HCPCS:67515)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Repair of detached retina using a laser (HCPCS:67105)
  • Unclassified drugs (HCPCS:J3490)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/22/2005 and was last updated on 4/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina SpecialistME64370FLORIDANo
2207WX0107XOphthalmologyRetina Specialist37090GEORGIANo
3207W00000XOphthalmologyME0064370FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1373365300MEDICAIDFLORIDA
200578113AMEDICAIDGEORGIA
318BDCPZMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
4F33855MEDICARE UPIN
5188772MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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