Carl A Gustafson, O.D.

LBN: Carl A Gustafson, O.D.
Carl A Gustafson, O.D. is an health care organization with primary practice located at 649 Broad St , Weymouth MA 02189-2041. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Carl A Gustafson, O.D. can be contacted via phone (781) 335-1166, or through Gustafson, Carl via phone (781) 335-1166.

Contact Information

Primary practice address
649 Broad St Weymouth MA 02189-2041
Phone: (781) 335-1166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Carl
Phone: (781) 335-1166

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MA2132 Massachusetts

Profile Details

NPI number 1902120470
LBN Legal business name Carl A Gustafson, O.D.
DBA Doing business as
Authorized official Gustafson, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2010
Last updated Mar 26th, 2010 - about 16 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 1902120470 NPPES
Massachusetts MEDICAID 110012664A

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