David Alan Gutowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT722 Issued in NM

Practice address

159 Mescalero TRL Ste 1
Ruidoso, NM 88345-6089

Phone

(575) 257-5029

Fax

(575) 257-9096

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

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.

• DRS. Gutowski & Sonnenmoser

  dba Family Vision Center

  • Optometrist
  • Ruidoso, NM
  • NPI 1033102314
  NPD (past)
• DRS. Gutowski & Sonnenmoser

  dba Family Vision Care Clinic

  • Optometrist
  • Tucumcari, NM
  • NPI 1881761088
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1669025425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MESCALERO TRL STE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456089",
            "telephone_number": "575-257-5029",
            "fax_number": "575-257-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MESCALERO TRL STE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456089",
            "telephone_number": "575-257-5029",
            "fax_number": "575-257-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWSKI",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003525",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1022",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60970794",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4470",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eyevleague1@family-visioncenter.com",
            "affiliation": "Y",
            "endpointDescription": "Office's Email Address",
            "affiliationName": "Drs. Gutowski & Sonnenmoser",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "159 Mescalero Trl Ste 1",
            "city": "Ruidoso",
            "state": "NM",
            "country_code": "US",
            "postal_code": "883456089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul S Gulbas, MD
• Hilary Anne Gunby, LMHC
• Erique Emmanuel Gutierrez, LCSW
• Mari Lynn Scarlett Gutierrez, LCSW
• Anatole Frank Gutowski
• Christie Haase
• Lora Sue Hanson, CSW
• Terri Hardeman
• Diane D Harmon, LISW
• Gary Harmon, PSYD

• Optometrist in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.