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ROBERT D. SULLIVAN OD
NPI 1043799844
Optometrist in Town & Country, MO

Active since August 13, 2018PECOS Enrolled
2185 SOUTH MASON RD, TOWN & COUNTRY, MO 63131(314) 821-5666(314) 821-5322 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2019, Aug 13, 2018 (2 updates tracked since 2018).

About Robert D. Sullivan Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT D. SULLIVAN OD (NPI 1043799844) is an individual optometrist in Town & Country, Missouri, licensed in Missouri (2018021513) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1043799844
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameROBERT D. SULLIVANCredential: OD
Location Address2185 SOUTH MASON RDTown & Country, MO 63131-1640
Mailing Address4801 S Cliff Ave Ste 100Independence, MO 64055-6954 · (816) 478-1230 · Fax (816) 350-4585
Phone(314) 821-5666
Fax(314) 821-5322
Sole ProprietorNo
Enumeration DateAugust 13, 2018
Last NPPES UpdateNovember 25, 20192 updates tracked since enumeration
✔ NPI 1043799844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2018021513
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2185 SOUTH MASON RD, Town & Country, MO 63131
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Secondary Practice Locations 10

Location 11018 Foxwood DriveRaymore, MO 64083 · Phone (816) 478-1230
Location 24741 S Cochise DrIndependence, MO 64055-6974 · Phone (816) 478-1230 · Fax (816) 478-4413
Location 31028 Town and Country Crossing DrChesterfield, MO 63017-0610 · Phone (636) 230-9190 · Fax (636) 230-9019
Location 411433 Olive BlvdCreve Coeur, MO 63141-7108 · Phone (314) 432-1134 · Fax (314) 432-1135
Location 5194 Clarkson RdEllisville, MO 63011-2244 · Phone (636) 227-2020 · Fax (636) 227-9968
Location 611941 Manchester RdDes Peres, MO 63131-4502 · Phone (314) 884-2380 · Fax (314) 884-2381
Location 78821 LaDue RdSaint Louis, MO 63124-2045 · Phone (314) 450-7305 · Fax (314) 450-7306
Location 86415 Chippewa StSaint Louis, MO 63109-2104 · Phone (314) 457-1880 · Fax (314) 457-8184
Location 9730 S Kirkwood RdKirkwood, MO 63122-5929 · Phone (314) 821-2626 · Fax (314) 821-4189
Location 10699 Gravois Bluffs Blvd Ste BFenton, MO 63026-7745 · Phone (636) 349-3005 · Fax (636) 305-1021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert D. Sullivan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarkson Optometry Inc
338 mi
Optometrist
912 MERAMEC STATION RD
Valley Park, MO 63088
  • Reassigned Medicare billing, Missouri enrollment
  • 124 clinicians in this Medicare group
NPI 1518895945 (636) 556-4390
Promohispano 2 Inc
548 mi
Eyewear Supplier
4609 INDEPENDENCE AVE
Kansas City, MO 64124
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1356621957 (816) 231-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Sullivan's NPI number?

The NPI number for Robert Sullivan is 1043799844. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Robert Sullivan located?

Robert Sullivan practices at 2185 South Mason Rd, Town & Country, MO 63131. The listed phone number is (314) 821-5666.

What is Robert Sullivan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Sullivan enrolled in Medicare?

Yes. Robert Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Sullivan reassigns Medicare benefits to 2 organizations: Clarkson Optometry Inc (Valley Park, MO) and Promohispano 2 Inc (Kansas City, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 16 other insurers list Robert Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Sullivan was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.