MEDICARE: ERIN BEACH HUDSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.007492	OH

General Provider Information

NPI Number	:	1477400869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN BEACH HUDSON

Provider Business Mailing Address
First Line	:	524 GRAVES RD
Second Line	:
City	:	CONWAY
State	:	MA
Zip	:	01341-9784
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5965 E BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1562
Country	:	US
Telephone Number	:	614-751-4070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	06/05/2026

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Directions to “ ERIN BEACH HUDSON ” Practice Location

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