Theodore K. Sullivan is a Washington, Missouri based male Optometrist with 34 years of experience in Optometry. He completed his graduation from University Of Missouri St Louis - School Of Optometry in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Theodore K. Sullivan is T02915 for Optometry in Missouri. Theodore K. Sullivan examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Theodore K. Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
34+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
1990
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3071 Phoenix Center Dr, Washington, Missouri, 63090-5690
Phone:
636-777-2345
Fax:
636-777-2115
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971628017
Enrollment ID:
I20100914000260
NPI Number:
1437153772
NPI Enumeration Date:
01 Jun, 2005
NPI Last Update On:
26 Oct, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore K. Sullivan are as mentioned below.
License Number
Specialization
State
Status
T02915
Optometry
Missouri
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Theodore K. Sullivan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Clarkson Optometry Inc (0840411799)
85
Success Vision Eyecare Of Cape Llc (6507104957)
3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15933 Clayton Rd Ste 201, Ballwin, Missouri
Zip:
63011-2172
Phone Number:
636-200-4393
Fax Number:
636-527-0766
Patients can reach Theodore K. Sullivan at 3071 Phoenix Center Dr, Washington, Missouri or can call to book an appointment on 636-777-2345. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Dr. Charles E. Bruce, OD 27+ yr exp.Speciality: Corneal and Contact Management Optometrist Address: 901 E 3rd St, MO Phone: 636-390-3999 Fax: 636-390-3959