Active NPI
Chroma Optics PLLC
- Optometrist
- Burlington, VT
National Provider Identifier
1457769226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0300000264
- Legal business name
- CHROMA OPTICS PLLC
- Practice address
- 370 Shelburne Rd
Suite 1
Burlington, VT 05401-4937 - Phone
- (802) 497-1676
- Fax
- (802) 497-2479
- NPI assigned
- Jul 24, 2014
- 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
- Dora Sudarsky, O.D.
- Title
- Owner
- Phone
- (802) 497-1676
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 | 0300000264 | VT | Primary |
Addresses
Primary practice location
370 Shelburne Rd
Suite 1
Burlington, VT 05401-4937
Mailing address
370 Shelburne Rd
Suite 1
Burlington, VT 05401-4937
Phone (802) 497-1676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023667 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150915000638 | VT | Part B Supplier - Clinic/Group Practice | 9739496324 |
Receives reassigned benefits from 2 practitioners Practice locations: Burlington, VT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1457769226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 SHELBURNE RD",
"address_2": "SUITE 1",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014937",
"telephone_number": "802-497-1676",
"fax_number": "802-497-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 SHELBURNE RD",
"address_2": "SUITE 1",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014937",
"telephone_number": "802-497-1676",
"fax_number": "802-497-2479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHROMA OPTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "SUDARSKY",
"authorized_official_first_name": "DORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-497-1676",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VT",
"license": "0300000264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023667",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.