Individual provider Active NPI

Todd Cory Gunderson, O.D.

  • Optometrist
  • Jasper, IN
National Provider Identifier
1336136712
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003376A Issued in IN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
I20060609000010 IN Practitioner - Optometry 6709898869 Reassigns benefits to 1 organization

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
Gunderson Eyecare PCGroup PAC ID 9537171699, 2 clinicians

Practice addresses (Care Compare)

3650 N Newton St
Jasper, IN 47546-9601
Phone (812) 481-2100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009372ILMDOptometrist
2002006805MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gunderson Eyecare P.C. Optometrist CurrentSince Feb 22, 2006 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

  • Direct secure messaging: tgunderson@directaddress.net
  • FHIR API: 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.

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

Verify at the official NPI Registry.