DR. CHARLISE A GUNDERSON (NPI# 1457410672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457410672 |
| Entity Type | Individual |
| Full Name | DR. CHARLISE A GUNDERSON |
| Credential | M.D. |
| Practice Address |
555 E Medical Center Blvd Suite 101 Webster TX 77598-4367 |
| Practice Telephone | 2814884477 |
| Practice Fax Number | 2814801623 |
| Mailing Telephone | 2814884477 |
| Mailing Fax Number | 2814801623 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | J3316 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 132654808 | 05 |
| Street Address |
555 E MEDICAL CENTER BLVD SUITE 101 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830262 | Charles Robert Gibson | Optometrist | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 | 2005-06-08 |
| 1619190030 | Christopher L. Coleman | Dentist | 555 E Medical Center Blvd, Suite 102, Webster, TX 77598-4367 | 2007-04-11 |
| 1750403721 | Stephen M Magers | Dentist | 555 E Medical Center Blvd, Suite 102, Webster, TX 77598-4367 | 2007-04-03 |
| 1700908787 | Margaret Pullman Martin | Dentist | 555 E Medical Center Blvd, Suite 102, Webster, TX 77598-4367 | 2007-04-03 |
| 1326056680 | Endodontic Associates of Clear Lake Inc | Dentist | 555 E Medical Center Blvd, Suite 102, Webster, TX 77598-4367 | 2006-08-03 |
| 1144262783 | Tyrus J Demouchet | Optometrist | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 | 2006-06-11 |
| 1831130111 | Duc H Tran | Ophthalmology | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4367 | 2006-06-09 |
| 1922070036 | Coastal Eye Associates Pllc | Optometrist | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 | 2006-02-02 |
| 1770568685 | Shaena H Choi | Ophthalmology | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4367 | 2005-12-13 |
| 1962406496 | Teresa Brewer Lutz | Optometrist | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4326 | 2005-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821292491 | Manuj Kapur | Ophthalmology | 555 E Medical Center Blvd Suite 101, Webster, TX 77598 | 2007-06-14 |
| 1346216553 | Paul N Rosenberg | Ophthalmology | 1015 Ridge Rd, Webster, NY 14580-2907 | 2006-02-27 |
| 1689678641 | Gregory T Clariday | Ophthalmology | 555 E Medical Center Blvd Ste 101, Webster, TX 77598-4367 | 2005-06-08 |
| 1881115970 | Clear Lake Ophthalmology Clinic Pllc | Ophthalmology | 500 N Kobayashi Ste A, Webster, TX 77598-4722 | 2017-06-29 |
| 1982022687 | Wayne Tie | Ophthalmology | 1010 S Ponds Dr, Webster, TX 77598-1409 | 2014-04-01 |
| 1770840720 | Joseph Armenia | Ophthalmology | 1015 Ridge Rd, Webster, NY 14580 | 2012-04-16 |
| 1437384435 | Allan M Robbins | Ophthalmology | 1678 Empire Blvd, Webster, NY 14580-1895 | 2009-05-19 |
| 1831130111 | Duc H Tran | Ophthalmology | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4367 | 2006-06-09 |
| 1083681001 | Richard Seeger | Ophthalmology | 1015 Ridge Rd, Webster, NY 14580-2907 | 2006-03-08 |
| 1013983923 | Sean Mogan | Ophthalmology | 1015 Ridge Rd, Webster, NY 14580-2907 | 2006-02-28 |
| Find all providers in WEBSTER | ||||
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| 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.