Provider Demographics
NPI:1528945581
Name:LUDFORD, CHASE N (OD)
Entity type:Individual
Prefix:DR
First Name:CHASE
Middle Name:N
Last Name:LUDFORD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1921 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:IL
Mailing Address - Zip Code:61354-3309
Mailing Address - Country:US
Mailing Address - Phone:815-223-0151
Mailing Address - Fax:815-223-0307
Practice Address - Street 1:1921 4TH ST
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IL
Practice Address - Zip Code:61354-3309
Practice Address - Country:US
Practice Address - Phone:815-223-0151
Practice Address - Fax:815-223-0307
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.012028152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist