DR. TARA L. SULLIVAN (O.D.) – Optometrist, NPI 1518410133

DR. TARA L. SULLIVAN (O.D.) is a healthcare provider. based in Norway, Maine. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5072 (MA). The NPI Number for DR. TARA L. SULLIVAN (O.D.) is 1518410133

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARA L. SULLIVAN (O.D.)
NPI
1518410133
Phone
(207) 743-0027
Address
193 Main St
Enumeration Date
31 July 2016
Last Update Date
26 July 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2077862500
Graduation Year
2010 (16 years ago)
PAC ID
0345524351
Group Practice PAC ID
0840266342
Professional Enrollment ID
I20170310000356
Address ID
ME042407418LE475XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

Provider Addresses for DR. TARA L. SULLIVAN (O.D.)

  • 193 Main St

    Norway, ME 042685645

    Phone: (207) 743-0027

    Fax: (207) 743-0051

    Type: Location

  • 245, Center Street, Auburn, Androscoggin County, Maine, 04210, United States

    AUBURN, ME 042106169

    Phone: (207) 786-2500

    Fax: (207) 786-2503

    Type: Mailing

  • 475 LISBON ST

    LEWISTON, ME 042407418

    Phone: (207) 786-2500

    Fax: (207) 786-2503

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($167).

Total Amount

$208

General + Research + Ownership

Payments

5

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-03-10

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
I20170310000356IOptometryMETBD

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
92134Imaging of retina122113$0
99213Established patient office or other outpatient visit, 20-29 minutes10687$0
92014Established patient complete exam of visual system106101$0
99214Established patient office or other outpatient visit, 30-39 minutes7464$0
92133Imaging of optic nerve5958$0
View full utilization report →

Insurance plans in this area (ZIP 04268)

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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: 0840266342View full group profile
NameSpecialtyState
O P H T H A L M O L O G YME
Certified Registered Nurse Anesthetist (Crna)ME
O P H T H A L M O L O G YIA

Reviews

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Frequently asked questions

What is the standard ID for DR. TARA L. SULLIVAN (O.D.) in the U.S.?
In the U.S., DR. TARA L. SULLIVAN (O.D.) is identified by NPI 1518410133.
Is DR. TARA L. SULLIVAN (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. TARA L. SULLIVAN (O.D.) as active.
Which specialty label fits DR. TARA L. SULLIVAN (O.D.)?
NPPES ties DR. TARA L. SULLIVAN (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TARA L. SULLIVAN (O.D.)?
DR. TARA L. SULLIVAN (O.D.) shows a connection to Norway, Maine in registry-derived data.
Can I export DR. TARA L. SULLIVAN (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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