Tracy Lynn Ludden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005716 Issued in NY

Practice address

912 W State St
Olean, NY 14760-2242

Phone

(716) 373-0766

Fax

(716) 373-1275

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enchanted Mountain Optometry,PLLC

  • Eyewear Supplier
  • Olean, NY
  • NPI 1013294685
  Medicare reassignment NPD Authorized official
• Olean Optical Labs

  • Durable Medical Equipment & Medical Supplies
  • Olean, NY
  • NPI 1073771325
  NPD (past)
• Olean Optical Lab

  • Durable Medical Equipment & Medical Supplies
  • Bradford, PA
  • NPI 1164572368
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104916246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRADLEY DR",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603948",
            "telephone_number": "716-373-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602242",
            "telephone_number": "716-373-0766",
            "fax_number": "716-373-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDEN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005716",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01608566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly J Linden
• Barbara Lippert
• Susan Peterson Lorenz, RN
• Shawna Jeanne Lowe
• Charity Meagan Lowry, LMSW
• Judy B. Luensman, MA CCC-SLP
• Tiffany Shanel Lussier
• Ashley Lutz
• Tim Lyon, RPH
• Sarah Catherine Lyons, RN

• Optometrist in Olean, NY
• Providers in Olean, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.