National Provider Identifier Database

GUSTAFSON EYE CARE CLINICS LTD
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.


Contact Information

GUSTAFSON EYE CARE CLINICS, LTD.
96 W NORTHWEST HWY
PALATINE, IL60067-3571
Phone: 847-358-7722
Fax: 847-520-3280
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for GUSTAFSON EYE CARE CLINICS, LTD.

NPI Number 1215138771
Legal business name
LBN
GUSTAFSON EYE CARE CLINICS, LTD.
Authorized official THOMAS GUSTAFSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/30/2007
Last updated 03/13/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 046008241
  • IL Medicaid: 8241

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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