Active NPI
Dana J Kludjian,OD & Assoc.,PC
- Optometrist
- Burlington, MA
National Provider Identifier
1356524342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3323
- Legal business name
- DANA J KLUDJIAN,OD & ASSOC.,PC
- Practice address
- 120 Cambridge St
Burlington, MA 01803-4135 - Phone
- (781) 229-6110
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana J Kludjian, O.D.
- Title
- President
- Phone
- (781) 229-6110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3323 | MA | Primary |
Addresses
Primary practice location
120 Cambridge St
Burlington, MA 01803-4135
Mailing address
120 Cambridge St
Burlington, MA 01803-4135
Phone (781) 229-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20163 | Other | MA | BLUECROSSBLUESHIELD OF MA |
National Provider Directory
National Provider DirectoryLocations
120 Cambridge St
Burlington, MA 01803
Phone (781) 229-6110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Burlington, MA
- NPI 1710018536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1356524342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CAMBRIDGE ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034135",
"telephone_number": "781-229-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CAMBRIDGE ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034135",
"telephone_number": "781-229-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANA J KLUDJIAN,OD & ASSOC.,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "KLUDJIAN",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-229-6110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MA",
"license": "3323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF MA",
"identifier": "W20163",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.