Provider Demographics
NPI:1003002296
Name:DUPUIS OPTOMETRY, INC.
Entity Type:Organization
Organization Name:DUPUIS OPTOMETRY, INC.
Other - Org Name:EYECARE CENTER OF BOULDER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:DUPUIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-449-2401
Mailing Address - Street 1:1836 30TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1016
Mailing Address - Country:US
Mailing Address - Phone:303-449-2401
Mailing Address - Fax:720-563-0157
Practice Address - Street 1:1836 30TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1016
Practice Address - Country:US
Practice Address - Phone:303-449-2401
Practice Address - Fax:720-563-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1122152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty