Individual
ERIK GUSTAVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2540 WILLAKENZIE RD, EUGENE, OR 97401-4805
(541) 484-9999
(541) 484-0616
Mailing address
2540 WILLAKENZIE RD, EUGENE, OR 97401-4805
(541) 484-9999
(541) 484-0616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT4755
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/02/2024
Last updated
02/20/2026
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