KERRY P SULLIVAN OD
NPI 1316104243
Optometrist in Windsor, NC

Q: What is Kerry P Sullivan Od's NPI number?

The NPI number for Kerry P Sullivan Od is 1316104243. It was assigned to this organization in the NPPES registry on May 19, 2008.

Q: What is Kerry P Sullivan Od's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 19, 2008

106 N KING ST, WINDSOR, NC 27983(252) 794-3381 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kerry P Sullivan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY P SULLIVAN OD (NPI 1316104243) is a healthcare organization registered as an optometrist in Windsor, North Carolina and active in the NPI registry since May 2008. The organization lists Kerry P Sullivan, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1316104243

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKERRY P SULLIVAN OD

Location Address106 N KING STWindsor, NC 27983-6863

Mailing AddressPo Box 160Windsor, NC 27983-0160 · (252) 794-3381

Phone(252) 794-3381

Organization SubpartNo

Authorized OfficialKerry P SullivanOptometrist · (252) 794-3381

Enumeration DateMay 19, 2008

✔ NPI 1316104243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NC · 1268

Definition

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.

106 N KING ST, Windsor, NC 27983

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Other Identifiers 3

Medicare UPINT65055NC

Medicare NSC0153920001NC

Medicaid890979ENC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY P SULLIVAN OD

Optometrist

106 N KING ST
WINDSOR, NC 27983

Bertie County (252) 794-3381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry P Sullivan Od's NPI number?

The NPI number for Kerry P Sullivan Od is 1316104243. It was assigned to this organization in the NPPES registry on May 19, 2008.

Where is Kerry P Sullivan Od located?

Kerry P Sullivan Od is located at 106 N King St, Windsor, NC 27983. The listed phone number is (252) 794-3381.

What is Kerry P Sullivan Od's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kerry P Sullivan Od was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.