Individual provider Active NPI

Eric D Ludwig, O.D.

  • Optometrist
  • Port Jefferson, NY
National Provider Identifier
1376956102
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008112-1 Issued in NY
Practice address
30 Jefferson Landing Cir
Port Jefferson, NY 11777-1989
Phone
(631) 832-7337
Fax
(888) 747-6545
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008112-1 NY Primary

Addresses

Primary practice location

30 Jefferson Landing Cir
Port Jefferson, NY 11777-1989

Mailing address

30 Jefferson Landing Cir
Port Jefferson, NY 11777-1989
Phone (631) 832-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141202002357 NY Practitioner - Optometry 2961724992 Reassigns benefits to 2 organizations
I20181127003353 CT Practitioner - Optometry 2961724992 Reassigns benefits to 1 organization
I20251107000173 RI Practitioner - Optometry 2961724992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Optometry Care PLLCGroup PAC ID 5799061263, 2 clinicians
Connecticut Optometry Partners, PLLCGroup PAC ID 3476959172, 4 clinicians

Practice addresses (Care Compare)

3 Daniel Way
Setauket, NY 11733-3054
Phone (800) 605-3937

30 Jefferson Landing Cir
Port Jefferson, NY 11777-1989
Phone (203) 626-5581

700 Narragansett Park Dr
Suite 100
Pawtucket, RI 02861-4326
Phone (203) 626-5581

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008112-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Optometry Partners, PLLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Long Island Optometry Care, PLLC Optometrist CurrentSince Aug 1, 2018 Accepting new patients

Locations

850 N Main Street Ext
Ste 2A2
Wallingford, CT 06492
Phone (203) 314-9493

611 E 103rd St
Brooklyn, NY 11236
Phone (718) 240-3100

222 Columbia St
Huntington Station, NY 11746
Phone (631) 549-0226

63 Oakcrest Ave
Middle Island, NY 11953
Phone (631) 594-3800

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

78 Birchwood Dr
South Huntington, NY 11746
Phone (631) 423-3200

30 Sayles Hill Rd
Manville, RI 02838
Phone (203) 626-5581

700 Narragansett Park Dr
Ste 100
Pawtucket, RI 02861
Phone (203) 626-5581

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1376956102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JEFFERSON LANDING CIR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771989",
            "telephone_number": "631-832-7337",
            "fax_number": "888-747-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JEFFERSON LANDING CIR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771989",
            "telephone_number": "631-832-7337",
            "fax_number": "888-747-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008112-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.