Individual provider Active NPI

Hannah Elizabeth Dupuy, OD

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1477030450
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5753 Issued in FL
Practice address
6641 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone
(561) 738-0112
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5753 FL Primary

Addresses

Primary practice location

6641 W Boynton Beach Blvd
Boynton Beach, FL 33437

Mailing address

1044 South Ocean Blvd
Delray Beach, FL 33483
Phone (315) 719-4803

Other practice location 1

6641 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 738-0112

Other names 1

  • Hannah Elizabeth Garlick Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191217001062 FL Practitioner - Optometry 6608200134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heg Business Management LLCGroup PAC ID 5799119228, 3 clinicians

Practice addresses (Care Compare)

6641 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527
Phone (561) 738-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5753FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heg Business Management LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Lynn Community Health, Inc. Past Accepting new patients

Locations

6641 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 738-0111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1477030450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 SOUTH OCEAN BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "315-719-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-738-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6641 W Boynton Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "33437",
            "country_code": "US",
            "telephone_number": "561-738-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUY",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "GARLICK",
            "middle_name": "ELIZABETH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.