Theodore K Sullivan, OD in Washington, MO - Medicare Optometry Provider

Theodore K Sullivan, OD is a medicare enrolled "Optometrist" provider in Washington, Missouri. He went to University Of Missouri St Louis - School Of Optometry and graduated in 1990 and has 35 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 3071 Phoenix Center Dr, Washington, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 777-2345.

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
	3071 Phoenix Center Dr, Washington, MO 63090-5690
	(636) 777-2345
	(636) 777-2115

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore K Sullivan
Gender	Male
Speciality	Optometry
Experience	35 Years
Location	3071 Phoenix Center Dr, Washington, 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: 10/26/2017

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 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 Ph: (636) 200-4393	Theodore K Sullivan, OD 3071 Phoenix Center Dr, Washington, MO 63090-5690 Ph: (636) 777-2345

Reviews and Comments

Optometrist in Washington, MO

Christopher Eisenbeis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St Ste 112, Washington, MO 63090 Phone: 636-239-8345
Dr. Peter M. Gubany, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1090 Washington Square Shopping Ctr, Washington, MO 63090 Phone: 636-239-2020 Fax: 636-239-5766
Mercy Health Services, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 851 E 5th St, Suite 112, Washington, MO 63090 Phone: 636-239-8345 Fax: 636-390-7295
Obermark Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 222 W Main St, Washington, MO 63090 Phone: 636-239-7144 Fax: 636-239-6266
Dr. Amanda Jessie Bissell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3071 Phoenix Center Dr, Washington, MO 63090 Phone: 636-777-2345 Fax: 636-777-2115
Valley Eye Clinic & Optical P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 E 3rd St, Washington, MO 63090 Phone: 636-390-3999 Fax: 636-390-3959

Theodore K Sullivan, OD - Medicare Optometrist in Washington, MO