GUSTAFSON EYE CARE CLINICS, LTD.
NPI 1215138771
Optometrist in Palatine, IL

Q: What is Gustafson Eye Care Clinics, Ltd.'s NPI number?

The NPI number for Gustafson Eye Care Clinics, Ltd. is 1215138771. It was assigned to this organization in the NPPES registry on May 30, 2007.

Q: What is Gustafson Eye Care Clinics, Ltd.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 30, 2007CLIA 14D2192105 · Waiver

96 W NORTHWEST HWY, PALATINE, IL 60067(847) 358-7722(847) 520-3280 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2020, Oct 23, 2019 (2 updates tracked since 2019).

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About Gustafson Eye Care Clinics, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAFSON EYE CARE CLINICS, LTD. (NPI 1215138771) is a healthcare organization registered as an optometrist in Palatine, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Thomas Earl Gustafson, President, as its authorized official.

NPPES Registry Identity

NPI1215138771

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGUSTAFSON EYE CARE CLINICS, LTD.

Location Address96 W NORTHWEST HWYPalatine, IL 60067-3571

Mailing Address96 W Northwest HwyPalatine, IL 60067-3571 · (847) 358-7722 · Fax (847) 520-3280

Phone(847) 358-7722

Fax(847) 520-3280

Organization SubpartNo

Authorized OfficialThomas Earl GustafsonPresident · (847) 638-7308

Enumeration DateMay 30, 2007

Last NPPES UpdateMarch 13, 20202 updates tracked since enumeration

NPPES CertifiedMarch 13, 2020

✔ NPI 1215138771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046008241

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.

Also ListedEyewear SupplierTaxonomy 332H00000X

96 W NORTHWEST HWY, Palatine, IL 60067

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Other Identifiers 1

Medicaid8241IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2192105

Gustafson Eye Care · Palatine, IL

Active · expires Sep 3, 2026

CLIA Number14D2192105

Laboratory TypePhysician Office

Certificate Effective DateSeptember 4, 2024

Certificate Expiration DateSeptember 3, 2026

Laboratory DirectorKelly D. Oliver

Laboratory Phone(847) 358-7722

Laboratory LocationGustafson Eye Care96 W Northwest Hwy, Palatine, IL 60067

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS EARL GUSTAFSON O.D.

Optometrist

96 W NORTHWEST HWY
PALATINE, IL 60067

Cook County (847) 358-7722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustafson Eye Care Clinics, Ltd.'s NPI number?

The NPI number for Gustafson Eye Care Clinics, Ltd. is 1215138771. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Gustafson Eye Care Clinics, Ltd. located?

Gustafson Eye Care Clinics, Ltd. is located at 96 W Northwest Hwy, Palatine, IL 60067. The listed phone number is (847) 358-7722.

What is Gustafson Eye Care Clinics, Ltd.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Gustafson Eye Care Clinics, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2192105) is associated with this NPI, valid through September 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gustafson Eye Care Clinics, Ltd. accept?

Health plans from BlueCross BlueShield of Tennessee list Gustafson Eye Care Clinics, Ltd. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gustafson Eye Care Clinics, Ltd. was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.