Dr Charles Hudak & Assoc LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR CHARLES HUDAK & ASSOC LLC

Practice address

314 Marketplace ML Ste 125
Plainfield, IN 46168-5542

Phone

(317) 839-6002

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Charles Michael Hudak, O.D.NPI 1073522330

Title

Ceo

Phone

(317) 554-7851

Specialties & licenses 1

Addresses

Tax ID family

Dr Charles Hudak Assoc LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Charles Hudak & Assoc LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1093359689
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Michael Hudak, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1073522330
  NPD Authorized official

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1306480934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542506",
            "telephone_number": "317-293-9314",
            "fax_number": "317-295-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MARKETPLACE ML STE 125",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461685542",
            "telephone_number": "317-839-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES HUDAK & ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-554-7851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Doezema, RBT
• Miriam E Domroese Owens, SLP
• Dana Lea Donaldson, OD
• Ifen Tsai Donovan, M.A. LMHCA, NCC
• Kimberly Doty
• Dr Ryan Jorgenson DPM LLC
• Dr. Ronald L. Wines, PC
• Dr.H.Hubbard and Associates, P.C.
• Monica M Dubina, MSW, LCSW, LCAC
• Abigail Duffy, BCBA

• Optometrist in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.