NPIMap

Organization Active NPI

Dupuis Optometry, Inc.

  • Corneal and Contact Management Optometrist
  • Boulder, CO
National Provider Identifier
1003002296
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1122 Issued in CO
Legal business name
DUPUIS OPTOMETRY, INC.
Practice address
1836 30TH St
Boulder, CO 80301-1016
Phone
(303) 449-2401
Fax
(720) 563-0157
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dennis P Dupuis, O.D.NPI 1467450213
Title
President/Owner
Phone
(303) 449-2401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1122 CO Primary

Addresses

Primary practice location

1836 30TH St
Boulder, CO 80301-1016

Mailing address

1836 30TH St
Boulder, CO 80301-1016
Phone (303) 449-2401

Other names 1

  • Eyecare Center of Boulder, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000570 CO Part B Supplier - Clinic/Group Practice 2365537818 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

1836 30th St
Boulder, CO 80301
Phone (303) 449-2401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1003002296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011016",
            "telephone_number": "303-449-2401",
            "fax_number": "720-563-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011016",
            "telephone_number": "303-449-2401",
            "fax_number": "720-563-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPUIS OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "DUPUIS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-449-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of Boulder, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.