Organization Active NPI

Budner & Associates O.D. P.a.

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1902036437
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VA1108 Issued in VA
Legal business name
BUDNER & ASSOCIATES O.D. P.A.
Practice address
4084 University Dr
204
Fairfax, VA 22030-6803
Phone
(703) 691-8008
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Howard D Budner, OD
Title
President
Phone
(703) 691-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VA1108 VA Primary

Addresses

Primary practice location

4084 University Dr
204
Fairfax, VA 22030-6803

Mailing address

4084 University Dr
204
Fairfax, VA 22030-6803
Phone (703) 691-8008

Other identifiers 1

IdentifierTypeStateIssuer
9205179MedicaidVA

National Provider Directory

National Provider Directory

Locations

4084 University Dr
Ste 204
Fairfax, VA 22030
Phone (703) 691-8008

Practitioners & affiliated clinicians

Practitioners 1

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": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1902036437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR",
            "address_2": "204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-691-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR",
            "address_2": "204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-691-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDNER & ASSOCIATES O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "BUDNER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-691-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "VA1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9205179",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.