Active NPI
Cynthia Dupre
- Optician
- Blackwood, NJ
National Provider Identifier
1336890706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- TD2001
- Practice address
- 1 Harmon Dr
Blackwood, NJ 08012-5103 - Phone
- (856) 228-1000
- NPI assigned
- Jan 17, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | TD2001 | NJ | Primary |
Addresses
Primary practice location
1 Harmon Dr
Blackwood, NJ 08012-5103
Mailing address
1 Harmon Dr
Blackwood, NJ 08012-5103
Phone (856) 228-1000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TD2001 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1336890706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARMON DR",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080125103",
"telephone_number": "856-228-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARMON DR",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080125103",
"telephone_number": "856-228-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPRE",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "TD2001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.