Active NPI
Beverly Jean Ludwig, O.D.
- Optometrist
- St Louis Park, MN
National Provider Identifier
1215051214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2497
- Practice address
- 8332 Highway 7
Knollwood Mall
St Louis Park, MN 55426-3991 - Phone
- (952) 933-3722
- NPI assigned
- Mar 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2497 | MN | Primary |
Addresses
Primary practice location
8332 Highway 7
Knollwood Mall
St Louis Park, MN 55426-3991
Mailing address
3333 Hazelton Rd
Edina, MN 55435-4204
Phone (952) 926-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8510 Hwy 7
St Louis Park, MN 55426-3911
Phone (952) 933-3722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2497 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visual Edge, Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215051214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 HAZELTON RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554354204",
"telephone_number": "952-926-5300",
"fax_number": "952-915-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8332 HIGHWAY 7",
"address_2": "KNOLLWOOD MALL",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554263991",
"telephone_number": "952-933-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "BEVERLY",
"middle_name": "JEAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- 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.