Provider Demographics
NPI:1417155235
Name:LUDWICK EYE CENTER
Entity Type:Organization
Organization Name:LUDWICK EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LUDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-264-6560
Mailing Address - Street 1:825 FIFTH AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4220
Mailing Address - Country:US
Mailing Address - Phone:717-264-6560
Mailing Address - Fax:717-264-6522
Practice Address - Street 1:825 FIFTH AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4220
Practice Address - Country:US
Practice Address - Phone:717-264-6560
Practice Address - Fax:717-264-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1303520001Medicare ID - Type Unspecified