Marc A Hudson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

152W00000X Issued in VA

Practice address

30 Crossing Lane
Ste. 107
Lexington, VA 24450-6354

Phone

(540) 463-9350

Fax

(540) 463-1722

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Ridge Eye Associates of Harrisonburg LLC

  • Optometrist
  • Harrisonburg, VA
  • NPI 1821989369
  NPD

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1497730923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CROSSING LANE",
            "address_2": "STE. 107",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244506354",
            "telephone_number": "540-463-9350",
            "fax_number": "540-463-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CROSSING LANE",
            "address_2": "STE. 107",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244506354",
            "telephone_number": "540-463-9350",
            "fax_number": "540-463-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009235728",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "106018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Henry, M.D.
• HHC Inc
• Philip R Hirsh Jr., M.D.
• Samantha Layne Hoke, LCSW
• Jane Tracy Horton, MD
• Bobbie Huffman
• Richard Raymond Hull, DMD
• Robert C. Hull, D.D.S.
• Jordan Deacon Humphreys, M.A.ED
• Michael Huntsman, CRNA

• Optometrist in Lexington, VA
• Providers in Lexington, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.