| Theodore K Sullivan, Od, Llc | |
|
1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 | |
| (636) 861-0600 | |
| Not Available |
| Full Name | Theodore K Sullivan, Od, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1 Meramec Bluffs Dr, Ballwin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790641884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Theodore K Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437153772 PECOS PAC ID: 3971628017 Enrollment ID: I20100914000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore K Sullivan, Od, Llc 9015 Eager Rd Apt 119, Saint Louis, MO 63144-1109 Ph: (314) 478-3669 | Theodore K Sullivan, Od, Llc 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 Ph: (636) 861-0600 |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14842 Manchester Rd, Ballwin, MO 63011 Phone: 636-200-4393 Fax: 636-557-4020 |
Robin Leslie Meyer, O. D, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13901 Manchester Rd, Ballwin, MO 63011 Phone: 636-256-3285 Fax: 636-527-3038 |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15933 Clayton Rd Ste 201, Ballwin, MO 63011 Phone: 636-200-4393 Fax: 636-527-0766 |
Amy B Brunig, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Highlands Boulevard Dr, Vision Center, Ballwin, MO 63011 Phone: 636-256-3285 |
Dr. Benjamin Thomas Secoy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14552 Manchester Rd, Ballwin, MO 63011 Phone: 636-227-8700 Fax: 636-227-0679 |
Dr. Susan L Carlisle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Highlands Boulevard Dr, Ballwin, MO 63011 Phone: 636-256-3285 |
Manchester Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 14552 Manchester Rd, Ballwin, MO 63011 Phone: 636-227-8700 Fax: 636-227-0679 |