Active NPI
David Gary Jupiter, OD
- Optometrist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1248
- Practice address
- 2500 Grubb Rd
Wilmington, DE 19810-4799 - Phone
- (302) 475-6500
- Fax
- (302) 475-9528
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 | TA1248 | MD | Primary |
Addresses
Primary practice location
2500 Grubb Rd
Wilmington, DE 19810-4799
Mailing address
2500 Grubb Rd
Wilmington, DE 19810-4799
Phone (302) 475-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Centurian Dr
Suite 114
Newark, DE 19713-2154
Phone (410) 392-6133
103 Chesapeake Blvd
Elkton, MD 21921-6391
Phone (410) 392-6133
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.15 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 73.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas J Lavenburg MD PA | Optometrist | Current | Accepting new patients |
Locations
1 Centurian Dr
Ste 114
Newark, DE 19713
Phone (302) 993-0722
103 Chesapeake Blvd
Ste C
Elkton, MD 21921
Phone (410) 392-6133
Interoperability endpoints
- dgjupiter@lavenburg.direct.eyemdemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1780794024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 GRUBB RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104799",
"telephone_number": "302-475-6500",
"fax_number": "302-475-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 GRUBB RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104799",
"telephone_number": "302-475-6500",
"fax_number": "302-475-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUPITER",
"first_name": "DAVID",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.