Anatole Frank Gutowski

Primary specialty

Occupational Vision OptometristTaxonomy code 152WX0102X

License

333 Issued in NM

Practice address

159 Mescalero TRL
Suite 1
Ruidoso, NM 88345-6089

Phone

(505) 257-5029

Fax

(505) 257-9096

NPI assigned

Oct 27, 2006

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM

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

State licenses

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP

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

• DRS. Gutowski & Sonnenmoser

  dba Family Vision Center

  • Optometrist
  • Ruidoso, NM
  • NPI 1033102314

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1023194818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MESCALERO TRL",
            "address_2": "SUITE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456089",
            "telephone_number": "505-257-5029",
            "fax_number": "505-257-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MESCALERO TRL",
            "address_2": "SUITE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456089",
            "telephone_number": "505-257-5029",
            "fax_number": "505-257-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWSKI",
        "first_name": "ANATOLE",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NM",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410032284",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P420",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0821",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delcia Maurice Gudgel, LPCC NM
• Paul S Gulbas, MD
• Hilary Anne Gunby, LMHC
• Erique Emmanuel Gutierrez, LCSW
• Mari Lynn Scarlett Gutierrez, LCSW
• David Alan Gutowski, OD
• Christie Haase
• Lora Sue Hanson, CSW
• Terri Hardeman
• Diane D Harmon, LISW

• Optometrist in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.