DENNIS E GUSTAFSON


Address: 9516 State Avenue, Suite A, Marysville, WA 98270
Phone: 3606585071

DENNIS E GUSTAFSON (NPI# 1649283391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649283391
Entity Type Individual
Full Name DENNIS E GUSTAFSON
Credential OD
Practice Address 9516 State Avenue
Suite A
Marysville
WA 98270
Practice Telephone 3606585071
Practice Fax Number 3606580631
Enumeration Date 2006-08-14
Last Update Date 2008-07-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 0D00001754 WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2006369 05

Office Location

Street Address 9516 STATE AVENUE
SUITE A
City MARYSVILLE
State WA
Zip Code 98270

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730706631 Amy Jean Tuengel Massage Therapist 4731 61st Ne, Marysville, WA 98270 2020-06-26
1821569534 Andrew M Reid Physical Therapist Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 2018-12-07
1861989162 Jenna Celine Schmidt Student in an Organized Health Care Education/Training Program Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 2018-04-23
1497103162 Kyoung Craddock Registered Nurse 5722 65th St Ne, Marysville, WA 98270 2016-06-02
1235553348 Marysville School District Speech-Language Pathologist 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 2014-02-10
1386085694 Malgorzata Cassidy Counselor 4308 76th. St. Ne, Marysville, WA 98270 2013-07-15
1972852374 Suzanne Leboeuf Counselor 1227 2nd St., Marysville, WA 98270 2012-08-31
1508121161 Tricia Nicole Davis Pharmacy Technician 6602 74th St Ne, Marysville, WA 98270 2012-07-10
1962774216 Lynae Marie Swinheart Community/Behavioral Health 6418 66th Pl Ne, Marysville, WA 98270 2012-02-02
1598042459 Jamie Rae Isaacson Speech-Language Pathologist 1820 Grove St., Marysville, WA 98270 2011-11-07
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871144881 National Vision Inc Optometrist 3721 116th St Ne Ste 213, Marysville, WA 98271-8428 2019-09-23
1851835896 Vision Plus In Marysville, Ps Optometrist 9516 State Ave Ste A, Marysville, WA 98270-2277 2016-12-09
1194939082 Emily Camchau Do Nguyen Optometrist 16616 Twin Lakes, Marysville, WA 98271 2007-05-09
1144356726 Mark John Sanitate Optometrist 3160 Gratiot Blvd, Marysville, MI 48040-1488 2007-02-26
1083760169 Patrick August Deview Optometrist 3160 Gratiot, Marysville, MI 48040 2007-01-25
1215006358 Daniel Samaniego Optometrist 1262 State Ave, Marysville, WA 98270-3658 2006-11-06
1447360185 Courtney Lynn Poling Optometrist 303 W Fifth St, Marysville, OH 43040-0396 2006-08-30
1275543712 Charles Herbert Richards Optometrist 429 D St, Marysville, CA 95901-5706 2006-08-08
1952343535 Susan M Truitt Optometrist 1001 W Fifth St, Marysville, OH 43040 2006-06-11
1376592618 Daniel J. Niederkohr Optometrist 105 Morey Dr, Marysville, OH 43040-1647 2006-05-05
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Competitor

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City MARYSVILLE
Zip Code 98270

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Dataset Information

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.

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