Active NPI
Eric Phillip Dupuis, O.D.
- Optometrist
- Davie, FL
National Provider Identifier
1336121086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT2556
- Practice address
- 8165 SW 24TH St
Davie, FL 33324-5711 - Phone
- (954) 594-4483
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | OPT2556 | CO | Primary |
Addresses
Primary practice location
8165 SW 24TH St
Davie, FL 33324-5711
Mailing address
1836 30TH St
Boulder, CO 80301-1016
Phone (954) 594-4483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1836 30TH St
Boulder, CO 80301-1016
Phone (303) 449-2401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT2556 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupuis Optometry, Inc. | Single Specialty | Current | Accepting new patients |
| South Florida Vision Services, Inc. | Optometrist | Past | Accepting new patients |
| Rabia Awan OD PA | Optometrist | Past | Accepting new patients |
Locations
1836 30th St
Boulder, CO 80301
Phone (303) 449-2401
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Eyecare Center of Boulder, Inc.
- Corneal and Contact Management Optometrist
- Boulder, CO
- NPI 1003002296
Single Specialty
-
dba South Florida Vision Centers
- Optometrist
- Fort Lauderdale, FL
- NPI 1912032566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1336121086",
"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": "954-594-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8165 SW 24TH ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245711",
"telephone_number": "954-594-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUIS",
"first_name": "ERIC",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "OPT2556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.