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OrganizationActive

Theodore K Sullivan, Od, Llc

Optometrist

THEODORE SULLIVAN
NPI: 1790641884Ballwin, Missouri, 63021(636) 861-0600

About Theodore K Sullivan, Od, Llc

Theodore K Sullivan, Od, Llc is a healthcare organization providing Optometrist services, registered under National Provider Identifier (NPI) number 1790641884. The authorized official for Theodore K Sullivan, Od, Llc is THEODORE SULLIVAN.

The organization is headquartered at 1 MERAMEC BLUFFS DR, Ballwin, Missouri 63021. The main office can be reached at (636) 861-0600. Theodore K Sullivan, Od, Llc has been NPI-registered since 2026.

Locations & Contact

Primary Location

Address
1 MERAMEC BLUFFS DR
City
Ballwin
State
Missouri
ZIP
63021-3309
Phone
(636) 861-0600
View on Google Maps

Authorized Official

Name
THEODORE SULLIVAN

Mailing Address

Address
9015 EAGER RD APT 119
City
SAINT LOUIS
State
MO
ZIP
631441109

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Optometrist
Classification
Optometrist
Taxonomy Code
152W00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Theodore K Sullivan, Od, Llc's NPI number?
Theodore K Sullivan, Od, Llc's National Provider Identifier (NPI) is 1790641884. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Theodore K Sullivan, Od, Llc specialize in?
Theodore K Sullivan, Od, Llc specializes in Optometrist.
Where is Theodore K Sullivan, Od, Llc located?
Theodore K Sullivan, Od, Llc practices at 1 MERAMEC BLUFFS DR, Ballwin, Missouri 63021. You can reach them by phone at (636) 861-0600.
Does Theodore K Sullivan, Od, Llc accept Medicare?
Based on available data, Theodore K Sullivan, Od, Llc is not currently enrolled in the Medicare program.
Does Theodore K Sullivan, Od, Llc offer telehealth or virtual visits?
Theodore K Sullivan, Od, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Theodore K Sullivan, Od, Llc holds NPI 1790641884, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.