Individual provider Active NPI

Cynthia Marie Dupuis, OD

  • Optometrist
  • Allen Park, MI
National Provider Identifier
1679459960
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005881 Issued in MI
Practice address
3456 Fairlane Dr Unit 104
Allen Park, MI 48101-2873
Phone
(313) 982-3848
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005881 MI Primary

Addresses

Primary practice location

3456 Fairlane Dr Unit 104
Allen Park, MI 48101-2873

Mailing address

5566 Concession 5 N
Amherstburg, ONTARIO N9V2Y9
CA

Other practice location 1

23360 Eureka Rd
Taylor, MI 48180-5215
Phone (734) 287-0024

Other practice location 2

32443 Gratiot Ave Ste 490
Roseville, MI 48066-1154
Phone (586) 415-0245

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251008002969 MI Practitioner - Optometry 6305347675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19100 Ridgewood Pkwy
FL 7
San Antonio, TX 78259-1828

3456 Fairlane Dr
Unit 104
Allen Park, MI 48101-2873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005881MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc Optometrist CurrentSince Sep 2, 2025 Accepting new patients
Visionworks, Inc CurrentSince Sep 2, 2025 Accepting new patients
Visionworks Inc. PastSince Aug 17, 2025 Accepting new patients

Locations

3456 Fairlane Dr
Unit 104
Allen Park, MI 48101
Phone (210) 245-2226

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

32443 Gratiot Ave
Ste 490
Roseville, MI 48066
Phone (586) 415-0245

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1679459960",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5566 CONCESSION 5 N",
            "city": "AMHERSTBURG",
            "state": "ONTARIO",
            "postal_code": "N9V2Y9"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 FAIRLANE DR UNIT 104",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012873",
            "telephone_number": "313-982-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23360 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481805215",
            "country_code": "US",
            "telephone_number": "734-287-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32443 Gratiot Ave Ste 490",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480661154",
            "country_code": "US",
            "telephone_number": "586-415-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.