Organization Active NPI

Ludwig Optometric Care PLLC

  • Optometrist
  • Port Jefferson, NY
National Provider Identifier
1679007611
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008112 Issued in NY
Legal business name
LUDWIG OPTOMETRIC CARE PLLC
Practice address
30 Jefferson Landing Cir
Port Jefferson, NY 11777-1989
Phone
(631) 832-7337
Fax
(888) 747-6545
NPI assigned
Apr 17, 2017
Organization subpart
No

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

Authorized official

Name
Dr. Eric Ludwig, O.D.
Title
Co-Owner
Phone
(631) 832-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 008112 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1679007611",
    "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": {
        "organization_name": "LUDWIG OPTOMETRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "631-832-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008112",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.