Gustafson Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GUSTAFSON EYECARE INC

Practice address

1140 Douglas Rd
Oswego, IL 60543-9040

Phone

(630) 554-5188

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Steve Gustafson

Title

Owner

Phone

(630) 554-5188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1013188374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAFSON EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-554-5188"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather J Groetzenbach, SLP
• Emilio Guerrero
• Guiding Solutions Counseling, PLLC
• Jeanette Gulczynski
• Ashley Gunderson
• Steve Gustafson, O.D.
• Steven M Haake, PT, DPT
• Alan Marshal Haan, M.D.
• Ann Elsa Hackfort, DO
• Saleh Hajjo-Rifai, MD

• Optometrist in Oswego, IL
• Providers in Oswego, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.