Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255490942 Deactivated / Inactive NPI Male Practitioner

Dr. David William Dudovitz , OD

Optometrist • Buford, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Dudovitz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2006
NPI Deactivation Date September 04, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Dudovitz, OD was a registered Optometrist practicing in Buford, GA. Throughout an active medical career spanning 18 years, Dr. Dudovitz provided care at the practice location at 3420 BUFORD DR until profile deactivation on 2024-09-04.

Practice Location & Contact Primary Location

Practice Address

3420 Buford Dr
Suite C560

Buford, GA 305194990

Telephone 7708317200
Fax 7708310076
Associated Practice Facility / Clinic
🏢 Modern Eyes Of Georgia, Llc Facility NPI 1982831756

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Buford, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
26 Specialists

Practicing in Buford, GA (1498 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT000690

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1851483366

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Optometrist (License #1511 in MN)

NPI Profile Active March 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 29, 2010

Registered at 3420 BUFORD DR, SUITE C560, BUFORD, GA 305194990 (Tel: 7708317200)

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Updated Business Mailing Address March 29, 2010

Registered at 1065 JODECO ROAD, STOCKBRIDGE, GA 30281 (Tel: 6782846314)

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Provider Name / Credentials Updated March 29, 2010

Recorded as DAVID DUDOVITZ, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Optometrist (License #OPT000690 in GA)

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Initial NPI Registration & Enumeration December 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255490942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: March 29, 2010
Deactivation Date: September 04, 2024

Mailing Address

1065 Jodeco Road

Stockbridge, GA 30281

Phone: 6782846314

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.