Individual provider Active NPI

Ryan Christopher Gustus, O.D.

  • Optometrist
  • Bluffton, IN
National Provider Identifier
1285922716
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003688A Issued in IN
Practice address
980 N Main St
Bluffton, IN 46714-1316
Phone
(260) 824-2020
NPI assigned
Jul 19, 2011
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003688A IN Primary

Addresses

Primary practice location

980 N Main St
Bluffton, IN 46714-1316

Mailing address

927 Willen LN
Fort Wayne, IN 46818-8405
Phone (260) 348-3949

Other identifiers 1

IdentifierTypeStateIssuer
100389250MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20110920000149 IN Practitioner - Optometry 0547431728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Bluffton, LLPGroup PAC ID 0749222628, 4 clinicians

Practice addresses (Care Compare)

980 N Main St
Bluffton, IN 46714-1316
Phone (260) 824-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003688AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Bluffton, LLP Optometrist CurrentSince Jan 14, 2012 Accepting new patients
Better Visions, P.C. Optometrist PastSince Jun 28, 2016 Accepting new patients
Westrick Family Eye Care P C Optometrist Past Accepting new patients

Locations

980 N Main St
Bluffton, IN 46714
Phone (219) 824-2632

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ocuco_eyecareassociatesofbluffton

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1285922716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 WILLEN LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188405",
            "telephone_number": "260-348-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141316",
            "telephone_number": "260-824-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTUS",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003688A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.