Individual provider Active NPI

Shari Lynn Gustin, O.D.

  • Optometrist
  • Webster, NY
National Provider Identifier
1740219948
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
81 E Main St
Webster, NY 14580-3238
Phone
(585) 265-3710
Fax
(585) 265-3775
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NY Primary

Addresses

Primary practice location

81 E Main St
Webster, NY 14580-3238

Mailing address

81 E Main St
Webster, NY 14580-3238
Phone (585) 265-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111207000371 NY Practitioner - Optometry 2163329715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shari L Gustin OD PCGroup PAC ID 6800793456, 4 clinicians

Practice addresses (Care Compare)

81 E Main St
Webster, NY 14580-3238
Phone (585) 265-3710

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005228NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shari L. Gustin OD, PC Optometrist CurrentSince May 15, 2000 Accepting new patients

Locations

81 E Main St
Webster, NY 14580
Phone (585) 265-3710

Organizations & group practices 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740219948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 E MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803238",
            "telephone_number": "585-265-3710",
            "fax_number": "585-265-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 E MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803238",
            "telephone_number": "585-265-3710",
            "fax_number": "585-265-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.