Individual
TRACY LYNN LUDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
912 W STATE ST, OLEAN, NY 14760-2242
(716) 373-0766
(716) 373-1275
Mailing address
116 BRADLEY DR, OLEAN, NY 14760-3948
(716) 373-6031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE007844
PA
152W00000X
Optometrist
Primary
T005716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608566
—
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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