Gustafson Eye Care Clinics, Ltd.

LBN: Gustafson Eye Care Clinics, Ltd.
Gustafson Eye Care Clinics, Ltd. is an health care organization with primary practice located at 96 W Northwest Hwy , Palatine IL 60067-3571. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Gustafson Eye Care Clinics, Ltd. can be contacted via phone (847) 358-7722, or through Gustafson, Thomas Earl via phone (847) 638-7308.

Contact Information

Primary practice address
96 W Northwest Hwy Palatine IL 60067-3571
Phone: (847) 358-7722
Fax: (847) 520-3280
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Thomas Earl Doctor of Optometry (OD)
Phone: (847) 638-7308

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008241 Illinois
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1215138771
LBN Legal business name Gustafson Eye Care Clinics, Ltd.
DBA Doing business as
Authorized official Gustafson, Thomas Earl Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Mar 13th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215138771 NPPES
Illinois MEDICAID 8241

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