Ludden, Tracy Lynn
Ludden, Tracy Lynn is an sole proprietor health care provider with primary practice located at 912 W State St , Olean NY 14760-2242. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ludden, Tracy Lynn can be contacted via phone (716) 373-0766.Contact Information
Primary practice address
912 W State St
Olean NY 14760-2242
Phone: (716) 373-0766
Fax: (716) 373-1275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T005716 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OE007844 | Pennsylvania |
Profile Details
| NPI number | 1104916246 |
|---|---|
| LBN Legal business name | Ludden, Tracy Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1104916246 | NPPES |
| New York | MEDICAID | 01608566 |
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