Steve Gustafson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

1140 Douglas Rd
Oswego, IL 60543-9040

Phone

(630) 554-5188

Fax

(630) 554-5518

NPI assigned

Nov 14, 2006

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

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 and National Provider Directory roles.

• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609948975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-5188",
            "fax_number": "630-554-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-5188",
            "fax_number": "630-554-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "STEVE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio Guerrero
• Guiding Solutions Counseling, PLLC
• Jeanette Gulczynski
• Ashley Gunderson
• Gustafson Eyecare Inc
• Steven M Haake, PT, DPT
• Alan Marshal Haan, M.D.
• Ann Elsa Hackfort, DO
• Saleh Hajjo-Rifai, MD
• Megan Hall

• Optometrist in Oswego, IL
• Providers in Oswego, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.