DR. JENNIFER ANN GUSTAFSON O.D. NPI 1023271418

NPI Information

NPI: 1023271418
Provider Name: DR. JENNIFER ANN GUSTAFSON, O.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

PECOS Registration: Yes

Address:
150 S HUNTINGTON AVE
BOSTON, MA
ZIP 02130
Phone: (857) 364-5543
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DR. Jennifer Ann Gustafson, O.D. is a low vision rehabilitation optometrist in Boston, MA. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Jennifer Ann Gustafson, O.D. NPI is 1023271418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 S HUNTINGTON AVE
BOSTON, MA
ZIP 02130-817
Phone: (857) 364-5543

The NPI 1023271418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/7/2008 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		VUT 007353	NEW YORK	No
2	152WV0400X	Optometrist	Vision Therapy	007353	NEW YORK	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	152WL0500X	Optometrist	Low Vision Rehabilitation	007353	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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