Sullivan, Theodore K.
Sullivan, Theodore K. is an individual health care provider with primary practice located at 675 Old Ballas Rd Ste 220 , Saint Louis MO 63141-7083. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sullivan, Theodore K. can be contacted via phone (314) 997-3937.Contact Information
Primary practice address
675 Old Ballas Rd Ste 220
Saint Louis MO 63141-7083
Phone: (314) 997-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02915 | Missouri |
Profile Details
| NPI number | 1437153772 |
|---|---|
| LBN Legal business name | Sullivan, Theodore K. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 2nd, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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