Individual provider · Type 1 NPI

Ethan Jared Dupuis, OD

Optometrist · Birmingham, MI

NPI number 1740073238 Active

Practice location

800 S Adams Rd Ste 201
Birmingham, MI 48009-7008

Fax (248) 644-5081

Mailing address

17228 Cove Dr
Northville, MI 48168-2288

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X4901005904 (MI)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1740073238

Ethan Jared Dupuis, OD's National Provider Identifier is 1740073238, issued on May 27, 2025. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Birmingham, MI. The record was last updated on Sep 24, 2026.