Theodore K Sullivan, OD, LLC
NPI 1790641884 · Optometrist · Ballwin, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore K Sullivan, OD, LLC is a Optometrist organization in Ballwin, MO (NPI 1790641884).
Provider details
- NPI number
- 1790641884
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Theodore Sullivan, Optometrist(314) 478-3669
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-02
- Last updated
- 2026-01-02
- Certified
- 2026-01-01
Frequently asked questions
- What is Theodore K Sullivan, OD, LLC's NPI number?
- Theodore K Sullivan, OD, LLC's National Provider Identifier (NPI) is 1790641884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theodore K Sullivan, OD, LLC?
- Theodore K Sullivan, OD, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Theodore K Sullivan, OD, LLC located?
- Theodore K Sullivan, OD, LLC's practice location on file with NPPES is 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309.
- What is Theodore K Sullivan, OD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Theodore K Sullivan, OD, LLC is (636) 861-0600.
- Does Theodore K Sullivan, OD, LLC accept Medicare?
- Theodore K Sullivan, OD, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Theodore K Sullivan, OD, LLC?
- The authorized official listed on Theodore K Sullivan, OD, LLC's NPPES record is Theodore Sullivan, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theodore K Sullivan, OD, LLC's NPI active?
- Yes — Theodore K Sullivan, OD, LLC's NPI (1790641884) is active in the NPPES registry as of the last update on 2026-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.