Theodore K Sullivan, OD in Saint Louis, MO - Medicare Optometry Provider

Theodore K Sullivan, OD is a medicare enrolled "Optometrist" provider in Saint Louis, Missouri. He went to University Of Missouri St Louis - School Of Optometry and graduated in 1990 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Success Vision Eyecare Of Maplewood Llc and his current practice location is 675 Old Ballas Rd Ste 220, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 997-3937.

Theodore K Sullivan is licensed to practice in Missouri (license number T02915) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1437153772.

Contact Information

	Theodore K Sullivan, OD
	675 Old Ballas Rd Ste 220, Saint Louis, MO 63141-7083
	(314) 997-3937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore K Sullivan
Gender	Male
Speciality	Optometry
Experience	36 Years
Location	675 Old Ballas Rd Ste 220, Saint Louis, Missouri
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theodore K Sullivan attended and graduated from University Of Missouri St Louis - School Of Optometry in 1990

NPI Data:

NPI Number: 1437153772
Provider Enumeration Date: 06/01/2005
Last Update Date: 01/02/2026

Medicare PECOS Information:

PECOS PAC ID: 3971628017
Enrollment ID: I20100914000260

Medical Identifiers

Medical identifiers for Theodore K Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437153772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T02915 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Success Vision Eyecare Of Maplewood Llc	8527424084	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theodore K Sullivan allows following entities to bill medicare on his behalf.

Provider Name	Clarkson Optometry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232

Provider Name	Success Vision Eyecare Of Cape Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417428509 PECOS PAC ID: 6507104957 Enrollment ID: O20190211002684

Provider Name	Success Vision Eyecare Of Maplewood Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497441265 PECOS PAC ID: 8527424084 Enrollment ID: O20230525002458

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore K Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore K Sullivan, OD 2021 Maplewood Commons Dr, Maplewood, MO 63143-1003 Ph: (314) 860-2020	Theodore K Sullivan, OD 675 Old Ballas Rd Ste 220, Saint Louis, MO 63141-7083 Ph: (314) 997-3937

Reviews and Comments

Optometrist in Saint Louis, MO

Dr. Matthew Christopher Simpson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 Fax: 314-289-6581
Mariana Said, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-617-2600
Brandon Merrill, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7840 Natural Bridge Rd, Saint Louis, MO 63121 Phone: 314-516-5131 Fax: 314-516-6405
Dr. Kristin S. Mcmurry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12406 Tesson Ferry Rd, Saint Louis, MO 63128 Phone: 314-842-5858 Fax: 800-432-6004
Genevieve Ehlers, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Dr. Douglas J Mcguire, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5496 Baumgartner Rd, S.105, Saint Louis, MO 63129 Phone: 314-487-2600 Fax: 314-487-7135
Dr. Michael Rohde, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2572 Lemay Ferry Rd, Saint Louis, MO 63125 Phone: 314-892-3321 Fax: 314-845-9603

Theodore K Sullivan, OD - Medicare Optometrist in Saint Louis, MO