STEVE GUSTAFSON (NPI# 1609948975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609948975 |
| Entity Type | Individual |
| Full Name | STEVE GUSTAFSON |
| Credential | O.D. |
| Practice Address |
1140 Douglas Rd Oswego IL 60543-9040 |
| Practice Telephone | 6305545188 |
| Practice Fax Number | 6305545518 |
| Mailing Telephone | 6305545188 |
| Mailing Fax Number | 6305545518 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| Street Address |
1140 DOUGLAS RD |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-9040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013188374 | Gustafson Eyecare Inc | Optometrist | 1140 Douglas Rd, Oswego, IL 60543-9040 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396123386 | Avjit Shahi | Optometrist | 83 Templeton Dr Ste F, Oswego, IL 60543-7025 | 2015-05-11 |
| 1033474317 | Dr Ryan Le and Associates LLC | Optometrist | 2300 Us Highway 34, Oswego, IL 60543-7132 | 2012-07-11 |
| 1891094488 | Edgar Ufuoma Ekure | Optometrist | 140b State Route 104, Oswego Plaza, Oswego, NY 13126 | 2011-03-22 |
| 1265524417 | David Judson Dexter | Optometrist | 120 E 1st St Ste 1, Oswego, NY 13126-2045 | 2006-09-28 |
| 1326140336 | Jacob B List | Optometrist | 140 State Route 104, Oswego Plaza Empire Vision Centers, Oswego, NY 13126 | 2006-09-01 |
| 1053428979 | Lori A Youngman | Optometrist | 147 W 1st St, Oswego, NY 13126-2045 | 2006-08-24 |
| 1740203850 | Oswego Vision, Ltd | Optometrist | 83 Templeton Dr, Suite F, Oswego, IL 60543-7019 | 2006-07-26 |
| 1932160785 | Empire Vision Center Inc | Optometrist | 140 Route 104, Oswego Plaza, Oswego, NY 13126-5649 | 2006-03-31 |
| 1629047840 | Daniel G. Pisacano | Optometrist | 341 State Route 104, Vision Center, Oswego, NY 13126-2911 | 2006-03-17 |
| 1639169998 | Ronald S. Weingart | Optometrist | 2075 Wiesbrook Drive, Oswego, IL 60543-8312 | 2005-10-26 |
| Find all providers in OSWEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.