Britt Elizabeth Gustafson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2814 Issued in MN

Practice address

12195 Singletree LN
Eden Prairie, MN 55344-7921

Phone

(952) 829-9024

Fax

(952) 829-9007

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Doctors IncGroup PAC ID 4082615356, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eye Doctors Inc

  • Optometrist
  • Eden Prairie, MN
  • NPI 1861544371
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1851402689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 SINGLETREE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447921",
            "telephone_number": "952-829-9024",
            "fax_number": "952-829-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 SINGLETREE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447921",
            "telephone_number": "952-829-9024",
            "fax_number": "952-829-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "BRITT",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle S Gubash
• Sandra Lee Guggisberg, MS, LMFT
• Brennen Walter Gulden, OTR/L
• John Edward Gulon, DDS
• John A Gunvalson, LPCC
• Gina Ann Gutenberg
• Roberto Antonio Guzman
• Matthew Haak, PHARMD
• Elli Marie Haanstad
• Amy Catherine Haarstad, D.V.M.

• Optometrist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.