THEODORE K. SULLIVAN

SAINT LOUIS, MO
NPI1437153772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  T02915)
Enumeration Date2005-06-01
Last Update Date2026-01-02
Business Address
THEODORE K. SULLIVAN O.D.
675 OLD BALLAS RD STE 220
SAINT LOUIS, MO 63141-7083
Phone number: 314-997-3937
Mailing Address
THEODORE K. SULLIVAN O.D.
2021 MAPLEWOOD COMMONS DR
MAPLEWOOD, MO 63143-1003
Phone number: 314-860-2020
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