Active NPI
Christopher Paul Udina, OD
- Optometrist
- Concord, NH
National Provider Identifier
1477690378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0750
- Practice address
- 8 N State St
Concord, NH 03301-4038 - Phone
- (603) 225-2512
- Fax
- (603) 225-3249
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0750 | NH | Primary |
Addresses
Primary practice location
8 N State St
Concord, NH 03301-4038
Mailing address
PO Box 32
Andover, NH 03216-0032
Phone (603) 735-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30353247 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 N State St
Concord, NH 03301-4038
Phone (603) 225-2512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Family Vision, PLLC | Current | Accepting new patients |
Locations
8 N State St
Concord, NH 03301
Phone (603) 225-2512
Organizations & group practices 1
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.
-
- Corneal and Contact Management Optometrist
- Concord, NH
- NPI 1396101358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1477690378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "ANDOVER",
"state": "NH",
"postal_code": "032160032",
"telephone_number": "603-735-6060",
"fax_number": "877-521-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 N STATE ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014038",
"telephone_number": "603-225-2512",
"fax_number": "603-225-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDINA",
"first_name": "CHRISTOPHER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30353247",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.