Maxwell Jay Gustafson (NPI# 1720581333, PAC ID# 6800143918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720581333 |
| PAC ID by PECOS | 6800143918 |
| Professional Enrollment ID | I20180720000933 |
| Full Name | Maxwell Jay Gustafson |
| Organization Legal Name | CASPER VISION CENTER PC |
| Address |
543 S David St Casper WY 82601-3196 |
| Phone Number | 3072379494 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4284616723 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 543 S David St, Casper, WY 82601-3196 | 3072379494 | CASPER VISION CENTER PC |
| Organization Legal Name | CASPER VISION CENTER PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Gustafson | Optometry | Casper Vision Center PC | 543 S David St, Casper, WY 82601-3196 |
| David R Carlson | Optometry | Casper Vision Center PC | 543 S David St, Casper, WY 82601-3196 |
| Christopher Allen Loe | Optometry | Casper Vision Center PC | 543 S David St, Casper, WY 82601-3196 |
| Street Address |
543 S DAVID ST |
| City | CASPER |
| State | WY |
| Zip | 82601-3196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Gustafson | Optometry | Casper Vision Center PC | 543 S David St, Casper, WY 82601-3196 |
| David R Carlson | Optometry | Casper Vision Center PC | 543 S David St, Casper, WY 82601-3196 |
| Christopher Allen Loe | Optometry | Casper Vision Center PC | 543 S David St, Casper, WY 82601-3196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Scott Bevan | Podiatry | 1950 E Beverly St, Casper, WY 82601 | |
| Jennifer L Greenup | Clinical Social Worker | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 | |
| Kelly N Dornbier | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Marla J Wonser | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Amy E Linam | Speech Language Pathologist | The Shriver Therapy Group, Inc. | 800 Werner Ct, Casper, WY 82601-1325 |
| Lisa Lynne Love | Clinical Social Worker | 800 Werner Ct, Suite D, Casper, WY 82601-1326 | |
| Elizabeth K Brummett | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Sandra S Milliken | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Kelly L Shipley | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Patrice J Lichliter | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Find all physicians in zip 82601 | |||
| City | CASPER |
| Zip Code | 82601 |
| Specialty | OPTOMETRY |
| City + Specialty | CASPER + OPTOMETRY |
Please comment or provide details below to improve the information on Maxwell Jay Gustafson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.