Active NPIOrganization

Carl A Gustafson, O.d.

Optometrist in Weymouth, Massachusetts

NPI Number1902120470
Practice location
649 Broad St, Weymouth, MA 02189-2041
Fax
—
Last updated
March 26, 2010

Carl A Gustafson, O.d. is a healthcare organization based in Weymouth, MA. Carl A Gustafson, O.d. practices in Weymouth, MA. The NPI Number for Carl A Gustafson, O.d. is 1902120470 and holds a License No. MA2132 (MA). The current practice location address for Carl A Gustafson, O.d. is 649 Broad St, Weymouth, MA 02189-2041 and can be reached out via phone at 781-335-1166.

Provider Profile Details

NPI Number
1902120470
Provider Name
Carl A Gustafson, O.d.
Provider Entity Type
Organization
Address
649 Broad St, Weymouth, MA 02189-2041
Phone Number
781-335-1166
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Carl Gustafson · Owner · 781-335-1166
Provider Enumeration Date
March 26, 2010
Last Update Date
March 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
649 Broad St
Weymouth, MA 02189-2041
Zip
02189-2041
Phone Number
781-335-1166
Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
649 Broad St
Weymouth, MA 02189-2041
City
Weymouth
State
MA
Zip
02189-2041

License Information

License Number
MA2132
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carl A Gustafson, O.d.?

The NPI number of Carl A Gustafson, O.d. is 1902120470. It was assigned on March 26, 2010 and is currently active in the NPPES registry.

What is the specialty of Carl A Gustafson, O.d.?

Carl A Gustafson, O.d. is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number MA2132.

Where does Carl A Gustafson, O.d. practice?

The practice location is 649 Broad St, Weymouth, MA 02189-2041. The office can be reached at 781-335-1166 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902120470 directly on the NPPES registry website.

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