Active NPI
Budner & Associates O.D. P.a.
- Optometrist
- Fairfax, VA
National Provider Identifier
1902036437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VA1108
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9205179 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Washington, DC
- NPI 1912310673
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.