Stephen E Gustafson, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2482TG Issued in TX

Practice address

1388 Stonehollow Drive
Suite #1
Kingwood, TX 77339-2280

Phone

(281) 358-5411

Fax

(281) 358-2045

NPI assigned

Nov 29, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stephen E. Gustafson, O.D.

  • Optometrist
  • Kingwood, TX
  • NPI 1447504097
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1285701565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 STONEHOLLOW DRIVE",
            "address_2": "SUITE #1",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392280",
            "telephone_number": "281-358-5411",
            "fax_number": "281-358-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 STONEHOLLOW DRIVE",
            "address_2": "SUITE #1",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392280",
            "telephone_number": "281-358-5411",
            "fax_number": "281-358-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2482TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Gunthrop, MS, BCBA, LBA
• Weixing William Guo, M.D.
• Rohan Gupta
• Rohit Gupta
• Annees Gurmani, LIC. ACUPUNCTURIST
• Olivia Monqiue Gutierrez
• H-E-B, LP
• H-E-B, LP
• Diane S Habib, MD
• Omar Fayez Hadidi, M.D.

• Corneal and Contact Management Optometrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.