Cynthia Louise Cupal, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002996 Issued in MI

Practice address

1535 N Leroy St
Fenton, MI 48430-2791

Phone

(810) 629-3070

Fax

(810) 629-6748

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Doctors Alvarado, P.C.

  dba Fenton Vision Center

  • Optometrist
  • Fenton, MI
  • NPI 1013122639
  Medicare reassignment NPD
• Fenton Vision Sensory and Learning Center PLLC

  • Multi-Specialty Clinic/Center
  • Fenton, MI
  • NPI 1750664991
  NPD (past) Authorized official
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1366523086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 1ST ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484304103",
            "telephone_number": "810-629-3070",
            "fax_number": "810-629-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302791",
            "telephone_number": "810-629-3070",
            "fax_number": "810-629-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPAL",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Cradlebaugh, LPTA
• Daniel Craig, DDS
• Kathy R Cramner, LPC
• Lacee Jo Cripe
• Amy Michelle Culbert, LMSW
• Thomas Frederick Curran, PH.D.
• Christy Marie Daenzer, LLMSW
• Kristin Dallaire, MA, LLP
• Niketa Dani, MD
• Daniel Steinhardt PC

• Optometrist in Fenton, MI
• Providers in Fenton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.