Gustie Christopher, O.D
Individual provider Active NPI Optometrist · East Havover, NJ
NPI 1790161602 · NPPES record last updated Aug 3, 2015
Key facts
- NPI
- 1790161602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 270800662000 (NJ)
- Practice address
- 154 Route 10 West
Unit 4B
East Havover, NJ 07936-2107 - Phone
- (973) 887-0216
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Totowa Eyecare LLC
Practice addresses (Care Compare)
169 Union Blvd
Totowa, NJ 07512-2603
Phone (973) 942-4221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916002737 | NJ | Practitioner - Optometry | 9133436579 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270800662000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverdale Vision Care, P.a. | Optometrist | Current |
Accepting new patients |
| TML Vision Care, LLC | Optometrist | Current |
Accepting new patients |
| Totowa Eyecare LLC | Optometrist | Current |
Accepting new patients |
| NJ Vision Care LLC | Optometrist | Past | Accepting new patients |
Locations
154 State Route 10
Unit 4B
East Hanover, NJ 07936
Phone (973) 887-0216
92 State Rt 23
Ste E
Riverdale, NJ 07457
Phone (973) 248-0600
169 Union Blvd
Totowa, NJ 07512
Phone (973) 904-9909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270800662000 | NJ | Yes |
Addresses
Primary practice location
154 Route 10 West
Unit 4B
East Havover, NJ 07936-2107
Mailing address
5 Lawrence St
PH 32
Bloomfield, NJ 07003-4631
Phone (305) 879-9881
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.