NPIMap

Organization Active NPI

Ludlow Eye Associates PC

  • Optometrist
  • Ludlow, MA
National Provider Identifier
1265635783
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3056 Issued in MA
Legal business name
LUDLOW EYE ASSOCIATES PC
Practice address
200 Center St
Suite 1
Ludlow, MA 01056-2772
Phone
(413) 583-3600
Fax
(413) 589-0783
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Martin Peter Davilli, O.D.
Title
Doctor
Phone
(413) 583-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3056 MA Primary

Addresses

Primary practice location

200 Center St
Suite 1
Ludlow, MA 01056-2772

Mailing address

200 Center St
Suite 1
Ludlow, MA 01056-2772
Phone (413) 583-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1265635783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "address_2": "SUITE 1",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-583-3600",
            "fax_number": "413-589-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "address_2": "SUITE 1",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-583-3600",
            "fax_number": "413-589-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDLOW EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "DAVILLI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "413-583-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.