Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932197407 Individual Practitioner Male Practitioner

Dr. Terry John Gustafson , OD

Optometrist • Spanaway, WA

Professional Overview & Biography Verified Profile Summary

Dr. Terry Gustafson, OD is a registered healthcare professional specializing in Optometrist in Spanaway, WA. Practice services are available at 17416 PACIFIC AVE S under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17416 Pacific Ave S

Spanaway, WA 983878263

Telephone 2535311388
Fax 2535311460

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Spanaway, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Spanaway, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
15 15 $138.00 $128.56

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 1084

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2008704 (WA)
Commercial Insurance / Payer ID Dept Of L & I
22875 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Julia Hallinan , LMP

Chiropractor - Independent Medical Examiner

NPI 1730411315

Licensed Massage Practitioner

NPI 1770527210

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 27, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2009

Registered at 17416 PACIFIC AVE S, SPANAWAY, WA 983878263 (Tel: 2535311388)

📍
Updated Business Mailing Address January 27, 2009

Registered at 17416 PACIFIC AVE SO, SPANAWAY, WA 983870728 (Tel: 2535311388)

👤
Provider Name / Credentials Updated January 27, 2009

Recorded as TERRY GUSTAFSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2009

Optometrist (License #1084 in WA)

🟢
Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932197407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2005
Last Update: January 27, 2009
Sole Proprietor: Yes

Mailing Address

17416 Pacific Ave So

Spanaway, WA 983870728

Phone: 2535311388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.