Active NPI
Norman Michael Kupers, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1083679641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 130
- Practice address
- 490 N Alvernon Way
Tucson, AZ 85711-1951 - Phone
- (520) 322-2713
- Fax
- (520) 325-8300
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 130 | AZ | Primary |
Addresses
Primary practice location
490 N Alvernon Way
Tucson, AZ 85711-1951
Mailing address
1471 N Purple Cactus PL
Tucson, AZ 85715-5251
Phone (520) 751-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130 | AZ | MD | Optometrist |
| 0130 | AZ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1083679641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 N PURPLE CACTUS PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857155251",
"telephone_number": "520-751-1701",
"fax_number": "520-325-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111951",
"telephone_number": "520-322-2713",
"fax_number": "520-325-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPERS",
"first_name": "NORMAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.