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

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 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Success Vision Eyecare Of Maplewood Llc, Pcd Management Of Paducah, 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any 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 NameTheodore K Sullivan
GenderMale
SpecialityOptometry
Experience34 Years
Location3071 Phoenix Center Dr, Washington, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any 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.
IdentifierTypeStateIssuer
1437153772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist T02915 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Success Vision Eyecare Of Maplewood Llc85274240843
Pcd Management Of Paducah, Llc39719192263

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 NameClarkson Optometry Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497155345
PECOS PAC ID: 0840411799
Enrollment ID: O20141020000232
Provider NameSuccess Vision Eyecare Of Cape Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417428509
PECOS PAC ID: 6507104957
Enrollment ID: O20190211002684
Provider NameSuccess Vision Eyecare Of Maplewood Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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


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Phone: 636-239-8345    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.