Individual
DR. DOUGLAS RONALD TUPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2161 MAIN ST, DUNEDIN, FL 34698-5606
(727) 734-8843
(727) 733-4313
Mailing address
2161 MAIN ST, DUNEDIN, FL 34698-5606
(727) 734-8843
(727) 733-4313
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OP2720
FL
152WL0500X
Low Vision Rehabilitation Optometrist
OP2720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115712
EYEMED
FL
01
—
20464
BCBS
FL
Enumeration date
06/15/2006
Last updated
07/25/2007
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