Organization
GUSTAFSON EYE CARE CLINICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EARL GUSTAFSON O.D. (PRESIDENT)
(847) 638-7308
Entity
Organization
Contact information
Practice address
96 W NORTHWEST HWY, PALATINE, IL 60067-3571
(847) 358-7722
(847) 520-3280
Mailing address
96 W NORTHWEST HWY, PALATINE, IL 60067-3571
(847) 358-7722
(847) 520-3280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008241
IL
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8241
—
IL
Enumeration date
05/30/2007
Last updated
03/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us