Julie Lynn Gussenhoven, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11423T Issued in CA

Practice address

3416 Bechelli Lane
Redding, CA 96002-2432

Phone

(530) 222-7290

Fax

(530) 605-1152

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Shasta Professional Eye Care Center, Doctors of Optometry, Inc.

  • Optometrist
  • Redding, CA
  • NPI 1811084601
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1881625465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 BECHELLI LANE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022432",
            "telephone_number": "530-222-7290",
            "fax_number": "530-605-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 BECHELLI LANE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022432",
            "telephone_number": "530-222-7290",
            "fax_number": "530-605-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSENHOVEN",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11423T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "11423T",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0114230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deedee B Gunkhasem
• Misti Gunn
• Lindsey Gunsauls
• John Dwayne Gunter
• Gus Charles Petras DDS
• Susan Irene Gustafson, RN
• Kelliea Christine Guthrie
• Jose Gutierrez
• Therese Gutierrez
• Guy Corkill, M.D. Inc.

• Optometrist in Redding, CA
• Providers in Redding, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.