Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore K. Sullivan, OD

Individual provider Optometrist · NPI 1437153772

Theodore K. Sullivan, OD is an Optometry in Saint Louis, Missouri. Qualified in 1990, 36 years ago. Works from 2 locations. Licensed in Missouri.

Years since qualifying
36
Licensed in
MO
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

675 Old Ballas Rd Ste 220
Saint Louis, MO 63141-7083
Phone: (314) 997-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2021 Maplewood Commons Dr, Maplewood, MO 63143-1003 — (314) 860-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T02915 (MO)

Record details

NPI number1437153772
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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