NPIMap

Organization Active NPI

Shari L. Gustin OD, PC

Doing business as Webster Eye Care Associates

  • Optometrist
  • Webster, NY
National Provider Identifier
1952581969
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SHARI L. GUSTIN OD, PC
Doing business as
Webster Eye Care Associates
Practice address
81 E Main St
Webster, NY 14580-3238
Phone
(585) 265-3710
NPI assigned
Nov 7, 2007
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Shari L. Gustin, ODNPI 1740219948
Title
President
Phone
(585) 265-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X VUT005228 NY
Eyewear Supplier 332H00000X VUT005228 NY

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

Other names 1

  • Webster Eye Care Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000825 NY Part B Supplier - Clinic/Group Practice 6800793456 Receives reassigned benefits from 5 practitioners
Practice locations: Webster, NY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1952581969",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI L. GUSTIN OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "GUSTIN",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-265-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "VUT005228",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT005228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.