Gustafson Eye Care Clinics, Ltd.
NPI 1215138771ActiveOrganization· Optometrist· Palatine, IL
Optometrist in Palatine, Illinois, registered in NPPES in May 2007. The authorized official on file is Thomas Earl Gustafson, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215138771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2007 |
| Last updated in NPPES | Mar 13, 2020 |
| Certified by provider | Mar 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046008241 | IL |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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