Theodore K Sullivan, OD | |
3071 Phoenix Center Dr, Washington, MO 63090-5690 | |
(636) 777-2345 | |
(636) 777-2115 |
Full Name | Theodore K Sullivan |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 34 Years |
Location | 3071 Phoenix Center Dr, Washington, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437153772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T02915 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Success Vision Eyecare Of Maplewood Llc | 8527424084 | 3 |
Pcd Management Of Paducah, Llc | 3971919226 | 3 |
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 |
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 |
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 Eye Care 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 | |
Dr. Alexander David Mcclure, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St Ste 112, Washington, MO 63090 Phone: 636-239-8345 |