MRS. MARY C SULLIVAN (O. D.) – Optometrist, NPI 1871935122

MRS. MARY C SULLIVAN (O. D.) is a healthcare provider. based in Rogers, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 2688 (AR). The NPI Number for MRS. MARY C SULLIVAN (O. D.) is 1871935122

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY C SULLIVAN (O. D.)
NPI
1871935122
Phone
(479) 659-1874
Address
3737 W WALNUT ST
Enumeration Date
26 July 2013
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792461700
Graduation Year
2013 (13 years ago)
PAC ID
7618199316
Group Practice PAC ID
4981628245
Professional Enrollment ID
I20141113000982
Address ID
AR727561839RO3737XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

Provider Addresses for MRS. MARY C SULLIVAN (O. D.)

  • 3737 W WALNUT ST

    ROGERS, AR 727561839

    Phone: (479) 659-1874

    Type: Mailing

  • 2110 W WALNUT ST

    ROGERS, AR 727563246

    Phone: (479) 636-8238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $621.

Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alcon Vision LLC ($218).

Total Amount

$621

General + Research + Ownership

Payments

16

Total payment records

General Amount

$621

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141113000982IOptometryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system447383$0
99213Established patient office or other outpatient visit, 20-29 minutes174144$0
92134Imaging of retina12195$0
92083Exam of visual field with extended testing116104$0
92133Imaging of optic nerve10397$0
View full utilization report →

Insurance plans in this area (ZIP 72756)

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Provider's Procedures

MRS. MARY C SULLIVAN (O. D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAR92012Eye and medical examination for diagnosis and treatment, established patient2623
OPTOMETRYAR92083Measurement of field of vision during daylight conditions4139
OPTOMETRYAR92134Diagnostic imaging of retina2120

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981628245View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P T O M E T R YTX
-AR
O P T O M E T R YAR

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Frequently asked questions

Where can patients find MRS. MARY C SULLIVAN (O. D.)'s NPI?
You can confirm MRS. MARY C SULLIVAN (O. D.) with NPI 1871935122; it appears in the national provider directory.
Does this profile mean MRS. MARY C SULLIVAN (O. D.) is currently active?
Yes — MRS. MARY C SULLIVAN (O. D.) appears active in the national provider directory.
Does MRS. MARY C SULLIVAN (O. D.) list a primary specialty?
If you are matching referrals, note Optometrist for MRS. MARY C SULLIVAN (O. D.). Clinical services aligned with this taxonomy classification.
What location shows for MRS. MARY C SULLIVAN (O. D.)?
We surface Rogers, Arkansas for MRS. MARY C SULLIVAN (O. D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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