Stephen E. Gustafson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7614TG Issued in TX

Legal business name

STEPHEN E. GUSTAFSON, O.D.

Practice address

1388 Stonehollow Dr
Suite 1
Kingwood, TX 77339-2488

Phone

(281) 358-5411

Fax

(281) 358-2045

NPI assigned

Nov 5, 2012

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Harman Steed, O.D.

Title

President

Phone

(281) 358-5411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen E Gustafson, OD

  • Corneal and Contact Management Optometrist
  • Kingwood, TX
  • NPI 1285701565
  NPD (past)

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447504097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 STONEHOLLOW DR",
            "address_2": "SUITE 1",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392488",
            "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 DR",
            "address_2": "SUITE 1",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392488",
            "telephone_number": "281-358-5411",
            "fax_number": "281-358-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E. GUSTAFSON, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-358-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7614TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.