Individual
JENNIFER A. HUPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6201 S. MINNESOTA AVE, TEA, SD 57108-2559
(605) 274-6717
(605) 275-4804
Mailing address
6201 S. MINNESOTA AVE, TEA, SD 57108-2559
(605) 274-6717
(605) 275-4804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0593
SD
152W00000X
Optometrist
Primary
593
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040692
BLUE CROSS BLUE SHIELD
SD
01
—
30671
SIOUX VALLEY HEALTH PLAN
SD
05
—
9201722
—
SD
05
—
9201723
—
SD
05
—
9201724
—
SD
01
—
9212280
DAKOTA CARE
SD
01
—
SD0593
EYEMED
SD
Enumeration date
05/04/2006
Last updated
05/20/2019
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