Active NPI
Christopher Bugajski, OD
- Optometrist
- Mishawaka, IN
National Provider Identifier
1801270855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004460A
- Practice address
- 1540 Trinity PL
Mishawaka, IN 46545-5006 - Phone
- (574) 272-9000
- NPI assigned
- Jul 18, 2015
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3446-35 | WI | |
| Optometrist | 152W00000X | 046011018 | IL | |
| Optometrist | 152W00000X | 4901004903 | MI | |
| Optometrist | 152W00000X | 18004460B | IN | |
| Optometrist | 152W00000X | 5315200012 | MI | |
| Optometrist | 152W00000X | 18004460A | IN | Primary |
Addresses
Primary practice location
1540 Trinity PL
Mishawaka, IN 46545-5006
Mailing address
1540 Trinity PL
Mishawaka, IN 46545-5006
Phone (574) 272-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004460A | IN | MD | Optometrist |
| 18004460B | IN | MD | Optometrist |
| 4901004903 | MI | MD | Optometrist |
| 5315200012 | MI | MD | Optometrist |
| 3446-35 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1801270855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-272-9000",
"fax_number": "574-272-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 TRINITY PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465455006",
"telephone_number": "574-272-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGAJSKI",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-18",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3446-35",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011018",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004903",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004460B",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "5315200012",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004460A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.