KERRY P SULLIVAN (NPI# 1326154477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326154477 |
| Entity Type | Individual |
| Full Name | KERRY P SULLIVAN |
| Credential | OD |
| Practice Address |
106 N King St Windsor NC 27983-6863 |
| Mailing Address |
Po Box 160 Windsor NC 27983-0160 |
| Practice Telephone | 2527943381 |
| Mailing Telephone | 2527943381 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1268 | NC | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724961 | Kerry Renee Sullivan | Counselor | 978 Home Plz, Suite 300, Waterloo, IA 50701-4809 | 2006-10-17 |
| 1093717548 | Kerry Sullivan | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
| 1629523568 | Kerry Sullivan | Rehabilitation Hospital | 1401 S California Ave, Chicago, IL 60608-1858 | 2016-08-21 |
| 1801246442 | Kerry Sullivan | Registered Nurse | 100 Route 59 Ste 117, Airmont, NY 10901-4927 | 2016-06-14 |
| 1205094661 | Kerry Sullivan | Social Worker | 645 N Michigan Ave Ste 803, Chicago, IL 60611-5123 | 2008-06-01 |
| 1861566176 | Kerry M. Sullivan | Surgery | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-11-20 |
| Street Address |
106 N KING ST |
| City | WINDSOR |
| State | NC |
| Zip Code | 27983-6863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316104243 | Kerry P Sullivan Od | Optometrist | 106 N King St, Windsor, NC 27983-6863 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666187 | Daughters Like Me, LLC | Respite Care | 109 W Byrd Street, Windsor, NC 27983 | 2020-10-15 |
| 1982220018 | Marlee Sloan | Specialist/Technologist | 705 Us Hwy 13n, Windsor, NC 27983 | 2020-06-24 |
| 1295237774 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 105 E Granville Street, Windsor, NC 27983 | 2018-03-01 |
| 1013356138 | Rachel Dorothea Smith | Pharmacist | 119 U.S. Highway 13 Bypass, Windsor, NC 27983 | 2013-06-21 |
| 1689938219 | Rivers Edge Assisted Living | Assisted Living Facility | 205 W. Watson St., Windsor, NC 27983 | 2012-06-28 |
| 1336311034 | Health Care Options of The East | Home Health | 202 C Us 13 Bypass, Windsor, NC 27983 | 2008-04-02 |
| 1780740191 | Rachel's House | Residential Treatment Facility, Emotionally Disturbed Children | 336 Us 13-17 Hwy S, Windsor, NC 27983 | 2006-12-29 |
| 1730272436 | Uplift Comprehensive Services | Residential Treatment Facility, Emotionally Disturbed Children | 312 Sterlingworth Street, Windsor, NC 27983 | 2006-10-02 |
| 1568416055 | County of Bertie | Ambulance | 106 Dundee St, Windsor, NC 27983 | 2006-05-20 |
| 1376517185 | Mediport Inc | Non-emergency Medical Transport (VAN) | 344 School Road, Windsor, NC 27983 | 2006-02-16 |
| Find all providers in zip 27983 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295237774 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 105 E Granville Street, Windsor, NC 27983 | 2018-03-01 |
| 1053828368 | Bluejay, LLC | Optometrist | 400 Main St Ste D, Windsor, CO 80550-4796 | 2018-01-08 |
| 1669883518 | David Lauren Fitzgerald Od Pa | Optometrist | 105 E Granville St, Windsor, NC 27983-6753 | 2014-05-14 |
| 1700921012 | Robert Thomas Gregg Jr. | Optometrist | 820 Mcclelland Dr, Windsor, CA 95492-9572 | 2007-02-21 |
| 1871645978 | John Ward Walker | Optometrist | 9071 Conde Ln, Windsor, CA 95492-7419 | 2007-01-17 |
| 1902967623 | Judith A Groves | Optometrist | 1292 Main St Unit 3, Windsor, CO 80550-5965 | 2006-12-13 |
| 1669570479 | Wayne Michael Levasseur | Optometrist | 186 Broad St, Windsor, CT 06095-2925 | 2006-09-20 |
| 1487656328 | Calvin S Price | Optometrist | 502 Windsor Ave, Windsor, CT 06095-4046 | 2005-08-11 |
| 1669924254 | Quality Eye Care, LLC | Optometrist | 502 Windsor Ave, Windsor, CT 06095-4046 | 2016-10-29 |
| 1194271965 | Vision Revision PC | Optometrist | 1292 Main St Unit 3, Windsor, CO 80550-5965 | 2016-08-31 |
| Find all providers in WINDSOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.