Thomas S. Gullotti, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3647 Issued in NY

Practice address

560 W 3Rd St
Jamestown, NY 14701-4776

Phone

(716) 484-0325

NPI assigned

Mar 29, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Westfield Optical Studio LLC

  • Optometrist
  • Westfield, NY
  • NPI 1093775892
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1912968140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014776",
            "telephone_number": "716-484-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014776",
            "telephone_number": "716-484-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLOTTI",
        "first_name": "THOMAS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "31424B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galo A Grijalva, M.D.
• Lyndon Scott Gritters, MD
• Jessica L Group, M.S SLP/CCC-L
• Carrie Ann Guiher
• Karen T. Gullotti, RPH
• Susan E Gustafson, PA-C
• Tyler Joseph Gustafson, PHYSICIAN ASSISTANT
• Gustavus Adolphus Child & Family Services
• Krystal Lee Haenel
• Emily Hair, OTR/L

• Optometrist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.