Individual provider Active NPI

Kassady Paige Chudzicki, OD

  • Optometrist
  • Wabash, IN
National Provider Identifier
1962309468
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004710A Issued in IN
Practice address
835 N Cass St
Wabash, IN 46992-1613
Phone
(260) 569-9950
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004710A IN Primary

Addresses

Primary practice location

835 N Cass St
Wabash, IN 46992-1613

Mailing address

835 N Cass St
Wabash, IN 46992-1613

Other practice location 1

17615 State Road 23
South Bend, IN 46635-1718
Phone (574) 234-7600

Other practice location 2

301 J St
LA Porte, IN 46350-4734
Phone (219) 362-8923

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

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1962309468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N CASS ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N CASS ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921613",
            "telephone_number": "260-569-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17615 State Road 23",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351718",
            "country_code": "US",
            "telephone_number": "574-234-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 J St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463504734",
            "country_code": "US",
            "telephone_number": "219-362-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDZICKI",
        "first_name": "KASSADY",
        "middle_name": "PAIGE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004710A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.