BRUCE GUSTAFSON O.D. NPI 1851313415

NPI Information

  • NPI: 1851313415
  • Provider Name: BRUCE GUSTAFSON, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 1575 20TH ST NW STE 101
    FARIBAULT, MN
    ZIP 55021
  • Phone: (507) 332-9900

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NPI Details

Bruce Gustafson, O.D. is an optometrist in Faribault, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Bruce Gustafson, O.D. NPI is 1851313415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1575 20TH ST NW STE 101
FARIBAULT, MN
ZIP 55021-931
Phone: (507) 332-9900
Fax: (507) 332-6800

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/20/2007.

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
1152W00000XOptometrist1651MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T65562MEDICARE UPINMINNESOTA
25138890001MEDICARE NSCMINNESOTA
3P00080005OTHERMINNESOTARAILROAD MEDICARE
4C03331MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAGROUP MEDICARE NUMBER

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: 11/21/2025

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