National Provider Identifier

Tracy Lynn Ludden, OD

Tracy Lynn Ludden, OD is listed in the NPPES registry with a primary specialty of Optometrist in Olean, NY and a listed phone number of (716) 373-0766.

NPI 1104916246Olean, NYOptometrist

Profile Overview

NPI
1104916246
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 912 W State St
  • Olean, NY 14760-2242

Phone: (716) 373-0766

Mailing Address

  • 116 Bradley Dr
  • Olean, NY 14760-3948

Specialties

  • Optometrist (152W00000X)
  • Optometrist (152W00000X)
Full Record
NPI
1104916246
Entity Type
Individual
Last Name
Ludden
First Name
Tracy
Middle Name
Lynn
Credential
OD
Mailing Street Address
116 Bradley Dr
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-3948
Mailing Country
US
Mailing Phone
(716) 373-6031
Practice Street Address
912 W State St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-2242
Practice Country
US
Practice Phone
(716) 373-0766
Practice Fax
(716) 373-1275
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X), Optometrist (152W00000X)
Other Identifiers
01608566 (NY)