Organization Active NPI

Chroma Optics PLLC

  • Optometrist
  • Burlington, VT
National Provider Identifier
1457769226
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0300000264 Issued in VT
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

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dora Sudarsky, O.D.NPI 1518155167
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1023667MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150915000638 VT Part B Supplier - Clinic/Group Practice 9739496324 Receives reassigned benefits from 2 practitioners
Practice locations: Burlington, VT

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.