Individual provider Active NPI

Chadwick Steven Hudnall, OD

  • Optometrist
  • Grand Island, NE
National Provider Identifier
1245297860
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1239 Issued in NE
Practice address
401 N Eddy St
Grand Island, NE 68801-4558
Phone
(308) 384-6922
Fax
(308) 384-7824
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1239 NE Primary

Addresses

Primary practice location

401 N Eddy St
Grand Island, NE 68801-4558

Mailing address

401 N Eddy St
Grand Island, NE 68801-4558
Phone (308) 384-6922

Other identifiers 1

IdentifierTypeStateIssuer
1239OtherNESTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000364 NE Practitioner - Optometry 7810929056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Eye Centers IncGroup PAC ID 0648602284, 19 clinicians

Practice addresses (Care Compare)

3540 Prairieview St
Suite 100
Grand Island, NE 68803-4409
Phone (308) 384-6922

3610 W Norfolk Ave
Norfolk, NE 68701-7702
Phone (402) 371-8230

4107 7TH Ave
Kearney, NE 68845-1312
Phone (308) 236-8500

Merit-based Incentive Payment System (MIPS)

Final score
99.28 of 100Reported as group
Quality
98.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1239NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients

Locations

605 23rd St
Columbus, NE 68601
Phone (402) 564-0545

401 N Eddy St
Grand Island, NE 68801
Phone (308) 384-6922

3540 Prairieview St
#100
Grand Island, NE 68803
Phone (308) 384-6922

4107 7th Ave
Kearney, NE 68845
Phone (308) 236-8500

3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230

624 Howard Ave
Saint Paul, NE 68873
Phone (308) 754-5609

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1245297860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EDDY ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014558",
            "telephone_number": "308-384-6922",
            "fax_number": "308-384-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EDDY ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014558",
            "telephone_number": "308-384-6922",
            "fax_number": "308-384-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "CHADWICK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1239",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.