ROBERT D. SULLIVAN (OD) – Optometrist, NPI 1043799844
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERT D. SULLIVAN (OD)
11941 Manchester Rd
Des Peres, MO 631314502
Phone: (314) 884-2380
Fax: (314) 884-2381
Type: Location
8821 LaDue Rd
Saint Louis, MO 631242045
Phone: (314) 450-7305
Fax: (314) 450-7306
Type: Location
6415 Chippewa St
Saint Louis, MO 631092104
Phone: (314) 457-1880
Fax: (314) 457-8184
Type: Location
730 S Kirkwood Rd
Kirkwood, MO 631225929
Phone: (314) 821-2626
Fax: (314) 821-4189
Type: Location
699 Gravois Bluffs Blvd Ste B
Fenton, MO 630267745
Phone: (636) 349-3005
Fax: (636) 305-1021
Type: Location
2185, South Mason Road, Town and Country, Saint Louis County, Missouri, 63131, United States
TOWN & COUNTRY, MO 631311640
Phone: (314) 821-5666
Fax: (314) 821-5322
Type: Location
1018 Foxwood Drive
Raymore, MO 64083
Phone: (816) 478-1230
Type: Location
4741 S Cochise Dr
Independence, MO 640556974
Phone: (816) 478-1230
Fax: (816) 478-4413
Type: Location
1028 Town and Country Crossing Dr
Chesterfield, MO 630170610
Phone: (636) 230-9190
Fax: (636) 230-9019
Type: Location
11433 Olive Blvd
Creve Coeur, MO 631417108
Phone: (314) 432-1134
Fax: (314) 432-1135
Type: Location
194 Clarkson Rd
Ellisville, MO 630112244
Phone: (636) 227-2020
Fax: (636) 227-9968
Type: Location
South Cliff Avenue, Independence, Jackson County, Missouri, 64136, United States
INDEPENDENCE, MO 640556954
Phone: (816) 478-1230
Fax: (816) 350-4585
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($34).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $34 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180830001386 | I | Optometry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63131)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| - | MO | |
| - | CA | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.