Active NPI
Todd Cory Gunderson, O.D.
- Optometrist
- Jasper, IN
National Provider Identifier
1336136712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003376A
- Practice address
- 255 W 36TH St
Suite 240
Jasper, IN 47546-7820 - Phone
- (812) 481-2100
- Fax
- (812) 481-2144
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2002006805 | MO | |
| Optometrist | 152W00000X | 18003376A | IN | Primary |
| Optometrist | 152W00000X | IL |
Addresses
Primary practice location
255 W 36TH St
Suite 240
Jasper, IN 47546-7820
Mailing address
255 W 36TH St
Suite 240
Jasper, IN 47546-7820
Phone (812) 481-2100
Other names 1
- Todd Cory Gunderson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3650 N Newton St
Jasper, IN 47546-9601
Phone (812) 481-2100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009372 | IL | MD | Optometrist |
| 2002006805 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunderson Eyecare P.C. | Optometrist | Current | Accepting new patients |
| Dr Tavel of Evansville, LLC | Optometrist | Past | Accepting new patients |
| Vision Development Center | Past | Accepting new patients |
Locations
255 W 36th St
Ste 240
Jasper, IN 47546
Phone (812) 481-2100
3650 N Newton St
Jasper, IN 47546
Phone (812) 481-2100
Interoperability endpoints
- tgunderson@directaddress.net
- https://app.meldrx.com/api/fhir/ocuco_gundersoneyecare
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 and National Provider Directory roles.
-
- Optometrist
- Jasper, IN
- NPI 1437102076
-
dba Dr Tavel's Family Eye Care
- Optometrist
- Evansville, IN
- NPI 1205825700
-
- Vision Therapy Optometrist
- Jasper, IN
- NPI 1154553857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336136712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W 36TH ST",
"address_2": "SUITE 240",
"city": "JASPER",
"state": "IN",
"postal_code": "475467820",
"telephone_number": "812-481-2100",
"fax_number": "812-481-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W 36TH ST",
"address_2": "SUITE 240",
"city": "JASPER",
"state": "IN",
"postal_code": "475467820",
"telephone_number": "812-481-2100",
"fax_number": "812-481-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERSON",
"first_name": "TODD",
"middle_name": "CORY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2002006805",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003376A",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TODD",
"last_name": "GUNDERSON",
"middle_name": "CORY",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.