BEVERLY JEAN LUDWIG (O.D.) – Optometrist, NPI 1215051214

BEVERLY JEAN LUDWIG (O.D.) is a healthcare provider. based in Edina, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2497 (MN). The NPI Number for BEVERLY JEAN LUDWIG (O.D.) is 1215051214

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY JEAN LUDWIG (O.D.)
NPI
1215051214
Phone
(952) 926-5300
Address
3333 HAZELTON RD
Enumeration Date
17 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
9529333722
Graduation Year
1993 (33 years ago)
PAC ID
4688769417
Group Practice PAC ID
2860560232
Professional Enrollment ID
I20071009000167
Address ID
MN554263911ST8510X7XXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for BEVERLY JEAN LUDWIG (O.D.)

  • 3333 HAZELTON RD

    EDINA, MN 554354204

    Phone: (952) 926-5300

    Fax: (952) 915-9212

    Type: Mailing

  • 8332 HIGHWAY 7

    KNOLLWOOD MALL

    ST LOUIS PARK, MN 554263991

    Phone: (952) 933-3722

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($28).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071009000167IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860560232View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YMN

Reviews

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Frequently asked questions

What federal number belongs to BEVERLY JEAN LUDWIG (O.D.)?
The federal identifier for BEVERLY JEAN LUDWIG (O.D.) is NPI 1215051214.
Is BEVERLY JEAN LUDWIG (O.D.)'s NPI currently valid?
The extract we use shows BEVERLY JEAN LUDWIG (O.D.) as active.
What kind of provider is BEVERLY JEAN LUDWIG (O.D.)?
The page reflects Optometrist for BEVERLY JEAN LUDWIG (O.D.). Clinical services aligned with this taxonomy classification.
Does BEVERLY JEAN LUDWIG (O.D.) practice in Minnesota?
You will see Edina, Minnesota on file for BEVERLY JEAN LUDWIG (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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