Provider Demographics
NPI:1023245933
Name:HOWARD BUDNER & ASSOCIATES O.D. P.A
Entity type:Organization
Organization Name:HOWARD BUDNER & ASSOCIATES O.D. P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-871-0180
Mailing Address - Street 1:4110 ASPEN HILL RD
Mailing Address - Street 2:300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2853
Mailing Address - Country:US
Mailing Address - Phone:301-871-0180
Mailing Address - Fax:301-871-0183
Practice Address - Street 1:4110 ASPEN HILL RD
Practice Address - Street 2:300
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2853
Practice Address - Country:US
Practice Address - Phone:301-871-0180
Practice Address - Fax:301-871-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA947152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD297628500Medicaid
MD436916Medicare UPIN