DR. JENNIFER ANN GUSTAFSON (NPI# 1023271418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023271418 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANN GUSTAFSON |
| Credential | O.D. |
| Practice Address |
150 S Huntington Ave Boston MA 02130-4817 |
| Mailing Address |
150 S Huntington Ave # 8b-52 Boston MA 02130-4817 |
| Practice Telephone | 8573645543 |
| Mailing Telephone | 8573645543 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | VUT 007353 | NY | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
007353 | NY | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
007353 | NY | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2094 Albany Post Rd, Montrose, NY 105481454 | 9147374400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997664 | Jennifer K Gustafson | Obstetrics & Gynecology | 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 | 2013-04-05 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1922384940 | Jennifer Lynn Gustafson | Occupational Therapist | 3101 Less Traveled Trl, Indian Trail, NC 28079-7801 | 2011-10-24 |
| 1679180145 | Jennifer Renee Gustafson | Behavior Technician | 109 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-28 |
| 1013479609 | Jennifer Lynn Gustafson | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-04-02 |
| 1861848814 | Jennifer Gustafson | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2016-05-09 |
| 1396154985 | Jennifer Lisa Gustafson | Nurse Practitioner | 1600 W 38th St, Suite 300, Austin, TX 78731-6400 | 2014-08-07 |
| 1386923175 | Jennifer Christine Gustafson | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-10 |
| 1639475254 | Jennifer Lee Gustafson | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2011-01-28 |
| 1801037601 | Jennifer Lynd Mosey Gustafson | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2009-03-09 |
| Street Address |
150 S HUNTINGTON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500429 | Thomas Peter Fantes | Family Medicine | 150 S Huntington Ave, Boston, MA 02130-4817 | 2005-06-30 |
| 1225640758 | Juliette Mcclendon-iacovino | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-08-17 |
| 1912524232 | William A Delaney | Social Worker | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-07-02 |
| 1659997948 | Thomas Favale | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1972129385 | Anisha Pandya | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1194347849 | Amanda Vessels | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1275155947 | Rachel Nicole Werner | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1235750639 | Michelle Lee Bourgeois | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-27 |
| 1962031617 | Tina Khieu | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-05 |
| 1083240238 | Southey Saul | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265623714 | Gerald R Friedman | Optometrist | 930 Commonwealth Ave, Suite 2a, Boston, MA 02215 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164493979 | Gregory Taylor Bodrie | Optometrist | 66 Pleasant St., Sagamore, MA 02561-0532 | 2006-01-30 |
| 1336462720 | Mab Community Services, Inc | Optometrist | 799 W Boylston St, Worcester, MA 01606-3071 | 2010-03-12 |
| 1881784585 | Rodney L. Immerman, O.d. | Optometrist | 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 | 2006-10-13 |
Please comment or provide details below to improve the information on DR. JENNIFER ANN GUSTAFSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.