Jennifer Cooper Dudovitz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003920 Issued in MI

Practice address

28655 Hoover Rd
Warren, MI 48093-4105

Phone

(586) 751-0400

NPI assigned

Jun 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

Other identifiers 1

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

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.

• Heritage Optical Center Inc

  • Optometrist
  • Detroit, MI
  • NPI 1285728964

  MI

  Medicare reassignment
• Heritage Optical Center

  • Optometrist
  • Detroit, MI
  • NPI 1689905929
  NPD (past)
• Heritage Optical Inc.

  • Optometrist
  • Detroit, MI
  • NPI 1053642397
  NPD (past)
• JS Dudovitz, Inc

  • Optometrist
  • Waterford, MI
  • NPI 1225209893
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790720225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10494 LUDLOW AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701524",
            "telephone_number": "248-543-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28655 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934105",
            "telephone_number": "586-751-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDOVITZ",
        "first_name": "JENNIFER",
        "middle_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E06683",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Dressler, D.P.M.
• Teresa Marie Driscoll, LCSW
• Monica Drohan
• Linda May Dubay, M.A. LPC
• Kimberly Susan Duchene, LLMSW
• Kimberley Susan Duncan, C.R.N.A.
• Rochelle Lynne Dunford, RPH
• Angela Marie Dunklin
• Jennifer Dunlop
• Bruce Tenneson Dunton Jr., M.S., R.S.S.T.

• All providers in Warren, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.