Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Jared Dupuis, OD

Individual provider Optometrist · NPI 1740073238

Ethan Jared Dupuis, OD is an Optometry in Detroit, Michigan. Graduated from Indiana University - School of Optometry in 2025, 1 year ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Trained at
Indiana University - School of Optometry
Licensed in
MI
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 — (248) 644-8060

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005904 (MI)

Record details

NPI number1740073238
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address17228 Cove Dr, Northville, MI 48168-2288

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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