Active NPI
David J Ludford, OD
- Optometrist
- Peru, IL
National Provider Identifier
1235115338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0284470001 | Other | IL | DMERC REGION B |
| 05021930 | Other | IL | BCBS PROVIDER NUMBER |
| L39591 | Other | IL | PIN 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
Enrollment records 1
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
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 100
- Quality
- 25
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008747 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Professionals of Peru OD PC | Optometrist | Current | Accepting new patients |
| Illinois Valley Eye Inst | Past | 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.
-
- Optometrist
- Peru, IL
- NPI 1699751701
-
- Ophthalmology Physician
- Ottawa, IL
- NPI 1851375968
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.