Dr Jonathan P Ludlow, OD | |
10730a Enduring Freedom Dr Ste A, Fort Drum, NY 13602-5405 | |
(315) 405-8671 | |
(315) 773-1820 |
Full Name | Dr Jonathan P Ludlow |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 10730a Enduring Freedom Dr Ste A, Fort Drum, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417939604 | NPI | - | NPPES |
02008780 | Medicaid | NY | |
G0185822450 | Other | NY | BNY |
TUV006112 | Other | NY | NEW YORK STATE |
410043899 | Other | NY | RRMCR |
52833A | Other | NY | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV0061121 (New York) | Primary |
Provider Name | United Cerebral Palsy Association Of The North Country Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467432765 PECOS PAC ID: 8729078001 Enrollment ID: O20040518000102 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan P Ludlow, OD 10730a Enduring Freedom Dr, Fort Drum, NY 13602-5405 Ph: (315) 405-8671 | Dr Jonathan P Ludlow, OD 10730a Enduring Freedom Dr Ste A, Fort Drum, NY 13602-5405 Ph: (315) 405-8671 |
Dr. David Andrew Paul, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Dr. Mark Joseph Medley Ii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac Fort Drum, 11050 Mt. Belvedere Blvd., Fort Drum, NY 13602 Phone: 315-772-2778 | |
Dr. Joseph Stephen Szorentini, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2234 | |
Dr. Holger Leonard Brencher, O.D., MS, BA Optometrist Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac Optometry Clinic, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-1801 Fax: 315-772-0700 | |
Dr. Eric Rafael Guzman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Usa Meddac/credentials, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Gregory Laurence Livingston, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10501 S. Riva Ridge, Fort Drum, NY 13602 Phone: 315-772-2234 Fax: 315-772-0700 |