Active NPI
Eric D Ludwig, O.D.
- Optometrist
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008112-1
- 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
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 | 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008112-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Optometry Partners, PLLC | Optometrist | Current | Accepting new patients |
| Long Island Optometry Care, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Setauket, NY
- NPI 1588102800
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.