Benjamin Scott Chudner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3423TX Issued in WA

Practice address

3309 Perry Ave
Bremerton, WA 98310-5355

Phone

(360) 377-7788

Fax

(360) 377-0472

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eagan Eye Clinic LLC

  • Optometrist
  • Becker, MN
  • NPI 1023615069
  NPD (past) Authorized official
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  NPD (past) Authorized official
• Aeg Maryland Professional LLC

  • Optometrist
  • Gaithersburg, MD
  • NPI 1962182782
  NPD (past)
• Aeg Pennsylvania Professional Inc

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  NPD (past)
• Aeg South Carolina Professional PC

  • Optometrist
  • Columbia, SC
  • NPI 1720768427
  NPD (past)
• Aeg Utah Professional Inc

  • Optometrist
  • Logan, UT
  • NPI 1154212777
  NPD (past)
• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1063416485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 PERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105355",
            "telephone_number": "360-377-7788",
            "fax_number": "360-377-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 PERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105355",
            "telephone_number": "360-377-7788",
            "fax_number": "360-377-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNER",
        "first_name": "BENJAMIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3423TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "410047984",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021657",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Robert Christen, M.D.
• Brittani Christensen
• Meagan Christoph
• Christopher Kerr DDS PLLC
• Victor Roger Chu, PHARMD
• Terry Chun, MD
• Hannah Cianciolo
• Marie M Ciliberto, ARNP
• Jordan Cimilluca, DDS
• City of Bremerton

• Optometrist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.