THEODORE K. SULLIVAN O.D., NPI 1437153772
Optometrist in BALLWIN, MO
Last Updated on : Oct 26,2017
About THEODORE K. SULLIVAN (NPI 1437153772)
THEODORE K. SULLIVAN is an Optometrist provider in BALLWIN, United States. His medical specialization is Optometrist .
1437153772 is NPI number of THEODORE K. SULLIVAN.
THEODORE K. SULLIVAN's primary taxonomy code based on NPI Lookup is 152W00000X with license number T02915. This taxonomy code refers to Optometrist.
THEODORE K. SULLIVAN has more than 17 years of experience.
THEODORE K. SULLIVAN current practice location address is 15933 CLAYTON RD STE 201, BALLWIN, MO. THEODORE K. SULLIVAN can be reached out via phone at 636-200-4393 and via fax at 636-527-0766 .
You can also correspond with THEODORE K. SULLIVAN through mail at mailing address 3071 PHOENIX CENTER DR, WASHINGTON, MO, United States. Mailing address contact number is 636-777-2345.
The enumeration date of THEODORE K. SULLIVAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.1437153772 NPI Information
Basic NPI information of THEODORE K. SULLIVAN (NPI 1437153772) is provided below.
| Name | THEODORE K. SULLIVAN |
|---|---|
| National Provider Id (NPI) | 1437153772 |
| Entity Type | Individual |
| Gender | M |
| Credential | O.D. |
| Practice Address | 15933 CLAYTON RD STE 201,
BALLWIN, MO, United States |
| Practice Telephone | 636-200-4393 |
| Practice Fax Number | 636-527-0766 |
| Mailing Address | 3071 PHOENIX CENTER DR ,
WASHINGTON, MO, United States |
| Mailing Telephone | 636-777-2345 |
| Mailing Fax Number | 636-777-2115 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 26-Oct-2017 |
THEODORE K. SULLIVAN (NPI 1437153772) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02915 | MO |
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.
THEODORE K. SULLIVAN (NPI 1437153772) Office Location
Office location of THEODORE K. SULLIVAN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1396781829 | 20/20 OPTICAL, LLC | Optometrist | 329 CARR MANOR CT,
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| 1043581051 | A PARTNER IN CARE LLC | In Home Supportive Care | 48 MEADOWBROOK C C EST,
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23-Jan-2012 |
| 1407286255 | A PARTNER IN CARE-CDS LLC | Technician, Personal Care Attendant | 48 MEADOWBROOK C C EST,
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| 1952508277 | ABA CONSULTING SERVICES, LLC | Specialist | PO BOX 1092,
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29-Jun-2007 |
| 1285386094 | AYIA ABDELJABBAR | Nurse Practitioner, Family | 184 BERRY MANOR CIR,
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| 1124719109 | ZAHRAA ABDULAMEER | Nuclear Medicine, Nuclear Imaging & Therapy | 1402 S GRAND BLVD,
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18-May-2023 |
| 1346245354 | FREDERICK ANDREW ABELE | Anesthesiology | 339 CONSORT DR,
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16-Jun-2005 |
| 1578564647 | JANE P ABELE | Nurse Anesthetist, Certified Registered | 339 CONSORT DR,
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10-Aug-2005 |
| 1962680264 | ELIZABETH ABERNATHY | Nurse Practitioner, Adult Health | 339 CONSORT DR,
BALLWIN, MO, United States |
08-Feb-2008 |
| 1508422981 | ABOUNDING GRACE COUNSELING, LLC | Counselor, Professional | 436 HARVEST HILL CT,
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11-May-2019 |
| 1710762760 | AD ASTRA AUTISM CENTERS LLC | Assistant Behavior Analyst | 1218 OAK BOROUGH DR,
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29-Aug-2023 |
| 1649823832 | JULIA MARIE ADAIR | Behavior Analyst | 84 BROWNING DR,
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17-Jul-2019 |
| 1174511521 | DANIEL ADAMOVSKY | Podiatrist | 215 OAKWOOD FARMS CT,
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10-Oct-2005 |
| 1629093117 | ADAPT OF TEXAS, INC. | Case Management | 323 CONSORT DR,
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13-Jul-2006 |
| 1245380005 | ADVANCED EAR NOSE & THROAT, P.C. | Otolaryngology | 972 SUNBURST CT,
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11-Jan-2007 |
| 1669772893 | ADVANCED EYE SURGERY CENTER, L.L.C. | Clinic/Center, Ambulatory Surgical | 1602 W 15TH AVE,
SUITE A EMPORIA, KS, United States |
21-Oct-2010 |
| 1881300598 | ADVANCING GENERATIONAL HEALTH LLC | Internal Medicine | 418 WINDING OAKS CT,
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26-Jan-2023 |
| 1831701507 | HUMZA AHMAD | Pharmacist | 1391 BIG BEND RD,
BALLWIN, MO, United States |
23-Aug-2020 |
| 1346375904 | SHAHNAZ BHARI AHMED | Dentist, General Practice | 956 KEHRS MILL ROAD,
BALLWIN, MO, United States |
23-Feb-2007 |
| 1235426297 | CHRISTOPHER MICHAEL AHRENS | Anesthesiology | 339 CONSORT DR,
BALLWIN, MO, United States |
28-Jun-2011 |
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FAQs
Whose NPI Number is 1437153772?1437153772 is the NPI number of THEODORE K. SULLIVAN.
What is the specialty for THEODORE K. SULLIVAN?The Specialty of THEODORE K. SULLIVAN is Optometrist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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