Individual provider Active NPI

Christopher B Dudley, LDO

  • Optician
  • Tampa, FL
National Provider Identifier
1942079298
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO6955 Issued in FL
Practice address
2502 N Rocky Point Dr Ste 230
Tampa, FL 33607-1451
Phone
(813) 499-8600
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO6955 FL Primary

Addresses

Primary practice location

2502 N Rocky Point Dr Ste 230
Tampa, FL 33607-1451

Mailing address

2502 N Rocky Point Dr
Tampa, FL 33607-1421
Phone (813) 499-8600

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO6955FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Visionventure, LLC Optician CurrentSince Dec 31, 2023 Accepting new patients

Locations

2502 N Rocky Point Dr
Ste 230
Tampa, FL 33607
Phone (813) 499-8600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1942079298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N ROCKY POINT DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071421",
            "telephone_number": "813-499-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N ROCKY POINT DR STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071451",
            "telephone_number": "813-499-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.