Individual provider Active NPI

David J Ludford, OD

  • Optometrist
  • Peru, IL
National Provider Identifier
1235115338
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1921 4TH St
Peru, IL 61354-3309
Phone
(815) 223-0151
Fax
(815) 223-0307
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 IL Primary

Addresses

Primary practice location

1921 4TH St
Peru, IL 61354-3309

Mailing address

1921 4TH St
Peru, IL 61354-3309
Phone (815) 223-0151

Other identifiers 3

IdentifierTypeStateIssuer
0284470001OtherILDMERC REGION B
05021930OtherILBCBS PROVIDER NUMBER
L39591OtherILPIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20100915000784 IL Practitioner - Optometry 5395869457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Professionals of Peru OD PCGroup PAC ID 6305960469, 3 clinicians

Practice addresses (Care Compare)

1921 4TH St
Peru, IL 61354-3309
Phone (815) 223-0151

Merit-based Incentive Payment System (MIPS)

Final score
12.5 of 100Reported as individual
Quality
25
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008747ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Professionals of Peru OD PC Optometrist CurrentSince Oct 1, 1995 Accepting new patients
Illinois Valley Eye Inst PastSince Oct 1, 1995 Accepting new patients

Locations

1921 4th St
Peru, IL 61354
Phone (815) 223-0151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235115338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543309",
            "telephone_number": "815-223-0151",
            "fax_number": "815-223-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543309",
            "telephone_number": "815-223-0151",
            "fax_number": "815-223-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDFORD",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION B",
            "identifier": "0284470001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "05021930",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "L39591",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.