NPI 1780794024 · live from the CMS NPI Registry
David Gary Jupiter, OD
Optometrist in Wilmington, DE. National Provider Identifier 1780794024, active.
NPI record
| NPI | 1780794024 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2500 Grubb Rd, Wilmington, DE 19810 |
| Practice phone | 302-475-6500 |
| Enumerated | August 30, 2006 |
| Last updated | June 16, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | TA1248 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.