Gustavo A Castillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

004008 Issued in FL

Practice address

570 Hatfield Dr
Umatilla, FL 32784-8986

Phone

(352) 243-2724

Fax

(863) 353-6842

NPI assigned

May 18, 2007

Last updated

Apr 28, 2017By 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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Veinte 20 Vision Center & Optical, P.a

  • Optometrist
  • Davenport, FL
  • NPI 1245561893
  Authorized official Same address or phone
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1285842740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HATFIELD DR",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327848986",
            "telephone_number": "352-729-9037",
            "fax_number": "352-669-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 HATFIELD DR",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327848986",
            "telephone_number": "352-243-2724",
            "fax_number": "863-353-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "GUSTAVO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "004008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1245561893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Stephen Boyd, PA - C
• Celesta Dawn Brosowsky
• Lea Ann Buffenbarger, OTR
• Derick Bugg, NCC
• Morgan Byrd, PHARMD
• Vickie Sue Chapman, ARNP
• Clark Transport LLC
• Cornerstone Family Health Care, Inc
• Cynthia Crouch, LMHC
• Christina Davis, ARNP

• Optometrist in Umatilla, FL
• Providers in Umatilla, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.