| Dr Garard Melvin Gustafson, OD | |
|
101 Milton Way, Milton, WA 98354-8800 | |
| (253) 922-0333 | |
| (253) 922-7322 |
| Full Name | Dr Garard Melvin Gustafson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 101 Milton Way, Milton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114919420 | NPI | - | NPPES |
| 2343002 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD00000938 (Washington) | Primary |
| Provider Name | Milton Eyecare Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679123442 PECOS PAC ID: 4385077841 Enrollment ID: O20191213002301 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garard Melvin Gustafson, OD 101 Milton Way, Milton, WA 98354-8800 Ph: (253) 922-0333 | Dr Garard Melvin Gustafson, OD 101 Milton Way, Milton, WA 98354-8800 Ph: (253) 922-0333 |
Teresa A E Wills Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 Meridian Ave E Ste 18, Milton, WA 98354 Phone: 253-927-5252 Fax: 253-927-4270 | |
Milton-edgewood Eye Clinic, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 900 Meridian E Ste 18, Milton, WA 98354 Phone: 253-927-5252 Fax: 253-927-4270 | |
Dr. Chelsea Taylor Dewalt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 900 Meridian E Ste 18, Milton, WA 98354 Phone: 253-927-5252 | |
Milton Eyecare Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 101 Milton Way, Milton, WA 98354 Phone: 253-922-0333 | |
Teresa Ann Erickson Wills, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 900 Meridian E Ste 18, Milton, WA 98354 Phone: 253-927-5252 Fax: 253-927-4270 |