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DR. JONATHAN P LUDLOW OD
NPI 1417939604
Optometrist in Fort Drum, NY

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
10730A ENDURING FREEDOM DR STE A, FORT DRUM, NY 13602(315) 405-8671(315) 773-1820 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan P Ludlow Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN P LUDLOW OD (NPI 1417939604) is an individual optometrist in Fort Drum, New York, licensed in New York (TUV0061121) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1417939604
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JONATHAN P LUDLOWCredential: OD
Location Address10730A ENDURING FREEDOM DR STE AFort Drum, NY 13602-5405
Mailing Address10730a Enduring Freedom DrFort Drum, NY 13602-5405 · (315) 405-8671 · Fax (315) 971-4633
Phone(315) 405-8671
Fax(315) 773-1820
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateNovember 15, 2005
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1417939604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV0061121
Definition
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.
10730A ENDURING FREEDOM DR STE A, Fort Drum, NY 13602
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Other Identifiers 5

Medicaid02008780NY
OtherG0185822450NY · Bny
OtherTUV006112NY · New York State
Other410043899NY · Rrmcr
Other52833ANY · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan P Ludlow Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537175807
PECOS Enrollment IDI20060223000151
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Ludlow's NPI number?

The NPI number for Jonathan Ludlow is 1417939604. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Jonathan Ludlow located?

Jonathan Ludlow practices at 10730A Enduring Freedom Dr Ste A, Fort Drum, NY 13602. The listed phone number is (315) 405-8671.

What is Jonathan Ludlow's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jonathan Ludlow enrolled in Medicare?

Yes. Jonathan Ludlow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Ludlow accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jonathan Ludlow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Ludlow was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.