Ludlow, Jonathan P
Ludlow, Jonathan P is an sole proprietor health care provider with primary practice located at 10730A Enduring Freedom Dr Ste A , Fort Drum NY 13602-5405. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ludlow, Jonathan P can be contacted via phone (315) 405-8671.Contact Information
Primary practice address
10730A Enduring Freedom Dr Ste A
Fort Drum NY 13602-5405
Phone: (315) 405-8671
Fax: (315) 773-1820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV0061121 | New York |
Profile Details
| NPI number | 1417939604 |
|---|---|
| LBN Legal business name | Ludlow, Jonathan P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Nov 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417939604 | NPPES |
| New York | MEDICAID | 02008780 | |
| New York | Other | G0185822450 | |
| New York | Other | TUV006112 | |
| New York | Other | 410043899 | |
| New York | Other | 52833A |
Popular Providers
-
Rosenberg, Harrison Leigh
301 Bridge Plz N , Fort Lee NJ 07024-5059 -
Pickett, Julie
Optometry Clinic, Bldg P-10501 , Ft. Drum NY 13602 -
Kim, Diane M.
2151 Lemoine Ave. , Fort Lee NJ 07024 -
Guzman, Eric Rafael
Usa Meddac/Credentials 11050 Mt Belvedere Blvd, Fort Drum NY 13602-5004 -
Szorentini, Joseph Stephen
11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438 -
Livingston, Gregory Laurence
10501 S. Riva Ridge , Fort Drum NY 13602 -
Paul, David Andrew
11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum NY 13602-5438 -
Joo, Evan Gee Young
215 Main St , Fort Lee NJ 07024-5701