Robert D. Sullivan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2018021513 Issued in MO

Practice address

2185 South Mason Rd
Town & Country, MO 63131-1640

Phone

(314) 821-5666

Fax

(314) 821-5322

NPI assigned

Aug 13, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robertsullivan@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promohispano 2 Inc

  dba Eye Care Optical

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1356621957
  Medicare reassignment NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1043799844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556954",
            "telephone_number": "816-478-1230",
            "fax_number": "816-350-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 SOUTH MASON RD",
            "city": "TOWN & COUNTRY",
            "state": "MO",
            "postal_code": "631311640",
            "telephone_number": "314-821-5666",
            "fax_number": "314-821-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Foxwood Drive",
            "address_purpose": "LOCATION",
            "city": "Raymore",
            "state": "MO",
            "postal_code": "64083",
            "country_code": "US",
            "telephone_number": "816-478-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4741 S Cochise Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556974",
            "country_code": "US",
            "telephone_number": "816-478-1230",
            "fax_number": "816-478-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 Town and Country Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630170610",
            "country_code": "US",
            "telephone_number": "636-230-9190",
            "fax_number": "636-230-9019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11433 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417108",
            "country_code": "US",
            "telephone_number": "314-432-1134",
            "fax_number": "314-432-1135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Clarkson Rd",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MO",
            "postal_code": "630112244",
            "country_code": "US",
            "telephone_number": "636-227-2020",
            "fax_number": "636-227-9968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11941 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631314502",
            "country_code": "US",
            "telephone_number": "314-884-2380",
            "fax_number": "314-884-2381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8821 LaDue Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631242045",
            "country_code": "US",
            "telephone_number": "314-450-7305",
            "fax_number": "314-450-7306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6415 Chippewa St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092104",
            "country_code": "US",
            "telephone_number": "314-457-1880",
            "fax_number": "314-457-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 S Kirkwood Rd",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631225929",
            "country_code": "US",
            "telephone_number": "314-821-2626",
            "fax_number": "314-821-4189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Gravois Bluffs Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630267745",
            "country_code": "US",
            "telephone_number": "636-349-3005",
            "fax_number": "636-305-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018021513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseann M Hoffman
• Jay Meyer, Inc
• NHC Healthcare-Town & Country LLC
• Purely Pediatrics LLC
• Leaann Roth

• Optometrist in Town & Country, MO
• Providers in Town & Country, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.