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Active NPI 1417939604 Individual Practitioner Male Practitioner

Dr. Jonathan P Ludlow , OD

Optometrist • Fort Drum, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Ludlow, OD is a certified Optometrist practicing in Fort Drum, NY. With approximately 27 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1999, Dr. Ludlow delivers high-quality medical care to the local community at 10730A ENDURING FREEDOM DR STE A.

Dr. Ludlow accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10730a Enduring Freedom Dr Ste A

Fort Drum, NY 136025405

Telephone 3154058671
Fax 3157731820

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Drum, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +6.5 yrs vs City Avg
City Avg: 20.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Fort Drum, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ludlow (27 Years) 27 Yrs
Fort Drum Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
15 15 $192.80 $141.56

Medical Specialties & State Licenses

CMS Verified: 2023-11-29
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV0061121

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02008780 (NY)
Commercial Insurance / Payer ID Bny
G0185822450 (NY)
Commercial Insurance / Payer ID New York State
TUV006112 (NY)
Commercial Insurance / Payer ID Rrmcr
410043899 (NY)
Commercial Insurance / Payer ID Medicare Ptan
52833A (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address November 29, 2023

Registered at 10730A ENDURING FREEDOM DR, FORT DRUM, NY 136025405 (Tel: 3154058671)

📍
Updated Practice Location October 17, 2019

Registered at 10730A ENDURING FREEDOM DR STE A, FORT DRUM, NY 136025405 (Tel: 3154058671)

📍
Updated Business Mailing Address October 17, 2019

Registered at 10730A ENDURING FREEDOM DR STE A, FORT DRUM, NY 136025405 (Tel: 3154058671)

NPI Profile Active December 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2011

Registered at 420 FORD ST, OGDENSBURG, NY 136691617 (Tel: 3153937171)

📍
Updated Business Mailing Address December 15, 2011

Registered at 1815 STATE ST, WATERTOWN, NY 136019407 (Tel: 3157886070)

👤
Provider Name / Credentials Updated December 15, 2011

Recorded as JONATHAN LUDLOW, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2011

Optometrist (License #TUV0061121 in NY)

🟢
Initial NPI Registration & Enumeration November 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417939604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2005
Last Update: November 29, 2023
Sole Proprietor: Yes

Mailing Address

10730a Enduring Freedom Dr

Fort Drum, NY 136025405

Phone: 3154058671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.