Search › South Carolina › 225100000X
Scott Sullivan
NPI 1477070522 · on the registry since 2017
Practice
- Address
- 439 Channel Rd Ste 102
Lake Wylie, SC 29710 - Phone
- (803) 746-7800
- Organisation at this address
- Ivyrehab Focus, Inc.
Professional Eyecare CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 5320 Mark Dabling Blvd # 100, Colorado Springs, CO
- 2322 S Academy Blvd, Colorado Springs, CO
- 2675 Court Dr, Gastonia, NC
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
2251X0800X - Licence states on file
- NC, CO, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina