Dr. Stephen E Gustafson
Optomitrist - Corneal and Contact Lenses
1388 Stonehollow Drive Suite #1
Kingwood
, Texas 77339-2280
Dr. Stephen E Gustafson
Optomitrist - Corneal and Contact Lenses
1388 Stonehollow Drive Suite #1
Kingwood
, Texas 77339-2280
(281) 358-2045
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Stephen E Gustafson
- 1388 Stonehollow Drive Suite #1
- Kingwood, TX
- Zip : 77339-2280
- Fax : (281) 358-2045
- Phone : (281) 358-5411
Second Address
- Dr. Stephen E Gustafson
- 1388 Stonehollow Drive Suite #1
- Kingwood, TX
- Zip : 77339-2280
- Fax : (281) 358-2045
- Phone : (281) 358-5411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2482TG | TX |
National Provider Identifier
| NPI | 1285701565 |
|---|---|
| Provider Name | Dr. Stephen E Gustafson |
| First Address | Kingwood, TX 77339-2280 |
| Second Address | Kingwood, TX 77339-2280 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 04/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T13599 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.