Individual provider Active NPI

Gerald Sunkin, O.D

  • Optometrist
  • Mount Pleasant, SC
National Provider Identifier
1366891582
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 5192 Issued in FL
Practice address
1710 Shoremeade Rd Ste 420
Mt Pleasant, SC 29464-7316
Phone
(843) 936-1616
NPI assigned
Jun 8, 2016
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2095 SC
Optometrist 152W00000X OPT 5192 FL Primary

Addresses

Primary practice location

1710 Shoremeade Rd Ste 420
Mt Pleasant, SC 29464-7316

Mailing address

1710 Shoremeade Rd Ste 420
Mt Pleasant, SC 29464-7316
Phone (843) 936-1616

Other practice location 1

1710 Shoremeade Rd Ste 420
Mount Pleasant, SC 29464-7316
Phone (843) 936-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 5192FLMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1366891582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SHOREMEADE RD STE 420",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647316",
            "telephone_number": "843-936-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SHOREMEADE RD STE 420",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647316",
            "telephone_number": "843-936-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Shoremeade Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294647316",
            "country_code": "US",
            "telephone_number": "843-936-1616",
            "fax_number": "843-936-0492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNKIN",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2095",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPT 5192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.