Organization · Type 2 NPI

Theodore K Sullivan, Od, LLC

Optometrist · Ballwin, MO

NPI number 1790641884 Active

Practice location

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309

Call (636) 861-0600 Map

Mailing address

9015 Eager Rd Apt 119
St. Louis, MO 63144-1109

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XNone listed

Optometrist: 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 e…

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About NPI 1790641884

Theodore K Sullivan, Od, LLC's National Provider Identifier is 1790641884, issued on Jan 2, 2026. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Ballwin, MO. The record was last updated on Jan 2, 2026.