| NPI | 1043696602 |
|---|---|
| Doing Business As | DR. TARA L. SULLIVAN, O.D. |
| Entity Type | Organization |
| Authorized Contact | TARA LEANNE SULLIVAN Owner & Optometrist 781-270-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5072) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |