Optometrist
ETHAN DUPUIS OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740073238 · enumerated 2025-05-27 · record updated 2026-09-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 17228 COVE DR, NORTHVILLE, MI, 48168-2288 (810) 908-8930 Google Maps Apple Maps OpenStreetMap
- Practice location 800 S ADAMS RD STE 201, BIRMINGHAM, MI, 48009-7008 (248) 644-8060 Fax (248) 644-5081 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 4901005904 MI
In this directory
Locations and evidence
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Practice location
BIRMINGHAM, MI, 480097008
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.