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THEODORE K. SULLIVAN O.D.
NPI 1437153772
Optometrist in Saint Louis, MO

Active since June 01, 2005PECOS Enrolled
675 OLD BALLAS RD STE 220, SAINT LOUIS, MO 63141(314) 997-3937 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2026, Oct 26, 2017 (2 updates tracked since 2017).

About Theodore K. Sullivan O.d. NPPES

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

THEODORE K. SULLIVAN O.D. (NPI 1437153772) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (T02915) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Maplewood, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1437153772
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTHEODORE K. SULLIVANCredential: O.D.
Location Address675 OLD BALLAS RD STE 220Saint Louis, MO 63141-7083
Mailing Address2021 Maplewood Commons DrMaplewood, MO 63143-1003 · (314) 860-2020 · Fax (314) 860-2020
Phone(314) 997-3937
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1437153772 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 · T02915
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.
675 OLD BALLAS RD STE 220, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 12021 Maplewood Commons DrMaplewood, MO 63143-1003 · Phone (314) 860-2020 · Fax (314) 860-2020

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)

Theodore K. Sullivan O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971628017
PECOS Enrollment IDI20100914000260, I20230103001252
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

8

Medicare enrollment records show Theodore Sullivan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Louis Eye Care Specialists, LLC
Same address
Ophthalmology
675 OLD BALLAS RD, SUITE #220
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1598946931 (314) 997-3937
Success Vision Eyecare Of Maplewood LLC
6.6 mi
Optometrist
2021 MAPLEWOOD COMMONS DR
Saint Louis, MO 63143
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
NPI 1497441265 (918) 800-2020
Success Vision Eyecare Of Chesterfield LLC
7.8 mi
Optometrist
2 THF BLVD
Chesterfield, MO 63005
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1225990419 (314) 934-2020
Clarkson Optometry, Inc
9.2 mi
Optometrist
217 CLARKSON RD
Ellisville, MO 63011
  • Reassigned Medicare billing, Missouri enrollment
  • 124 clinicians in this Medicare group
NPI 1497155345 (636) 200-4393
Theodore K Sullivan, Od, LLC
9.4 mi
Optometrist
1 MERAMEC BLUFFS DR
Ballwin, MO 63021
  • Reassigned Medicare billing, Missouri enrollment
NPI 1790641884 (636) 861-0600
Affinia Healthcare
12 mi
Federally Qualified Health Center (FQHC)
4414 N FLORISSANT AVE
Saint Louis, MO 63107
  • Reassigned Medicare billing, Missouri enrollment
  • 85 clinicians in this Medicare group
NPI 1093723959 (314) 898-1700
Success Vision Eyecare Of Cape, LLC
106 mi
Optometrist
3019 WILLIAM ST STE 102
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 6 clinicians in this Medicare group
NPI 1417428509 (918) 895-1700
Pcd Management Of Paducah, LLC
145 mi
Optometrist
467 JORDAN DRIVE, SUITE 101
Paducah, KY 42001
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1659998524 (270) 297-2020

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
894 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services76 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
57 services56 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
55 services54 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
43 services43 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
37 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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 Theodore Sullivan's NPI number?

The NPI number for Theodore Sullivan is 1437153772. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Theodore Sullivan located?

Theodore Sullivan practices at 675 Old Ballas Rd Ste 220, Saint Louis, MO 63141. The listed phone number is (314) 997-3937.

What is Theodore Sullivan's specialty?

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

Is Theodore Sullivan enrolled in Medicare?

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

Which organizations bill Medicare for Theodore Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Sullivan reassigns Medicare benefits to 8 organizations: St. Louis Eye Care Specialists, LLC (Saint Louis, MO), Success Vision Eyecare Of Maplewood LLC (Saint Louis, MO), Success Vision Eyecare Of Chesterfield LLC (Chesterfield, MO), Clarkson Optometry, Inc (Ellisville, MO), Theodore K Sullivan, Od, LLC (Ballwin, MO) and 3 more organizations, listed in the Medicare section above. 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 Theodore Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore 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 Theodore 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 Theodore Sullivan was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.