Individual provider Active NPI

David Wayne Dupree, OD

  • Optometrist
  • Chehalis, WA
National Provider Identifier
1871697235
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3259TX Issued in WA
Practice address
1601 NW Louisiana Ave
Chehalis, WA 98532-1700
Phone
(360) 740-9562
Fax
(360) 748-3911
NPI assigned
Sep 7, 2006
Last updated
Dec 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3259TX WA Primary

Addresses

Primary practice location

1601 NW Louisiana Ave
Chehalis, WA 98532-1700

Mailing address

624 Jones Rd
Winlock, WA 98596-9523
Phone (360) 785-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120210000550 WA Practitioner - Optometry 5092972554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3259TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dupree Optometry Inc Optometrist CurrentSince Jan 10, 2012 Accepting new patients

Locations

1601 NW Louisiana Ave
Chehalis, WA 98532
Phone (360) 740-9562

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1871697235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 JONES RD",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969523",
            "telephone_number": "360-785-3948",
            "fax_number": "360-748-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW LOUISIANA AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985321700",
            "telephone_number": "360-740-9562",
            "fax_number": "360-748-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3259TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

Verify at the official NPI Registry.