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DR. JENNIFER COOPER DUDOVITZ O.D.
NPI 1790720225
Optometrist in Warren, MI

Active since June 18, 2006PECOS Enrolled
28655 HOOVER RD, WARREN, MI 48093(586) 751-0400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer Cooper Dudovitz O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER COOPER DUDOVITZ O.D. (NPI 1790720225) is an individual optometrist in Warren, Michigan, licensed in Michigan (4901003920) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790720225
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNIFER COOPER DUDOVITZCredential: O.D.
Location Address28655 HOOVER RDWarren, MI 48093-4105
Mailing Address10494 Ludlow AveHuntington Woods, MI 48070-1524 · (248) 543-9486
Phone(586) 751-0400
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790720225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003920
Definition
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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
28655 HOOVER RD, Warren, MI 48093
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Other Identifiers 1

Other0E06683MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Cooper Dudovitz O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Dudovitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Optical Center Inc
8.6 mi
Optometrist
19010 LIVERNOIS AVE
Detroit, MI 48221
  • Reassigned Medicare billing, Michigan enrollment
  • 22 clinicians in this Medicare group
NPI 1285728964 (313) 863-9581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY THAYER KONJA DO
Internal Medicine
28655 HOOVER RD
WARREN, MI 48093
Macomb County (586) 393-1330
GERIATRIC ASSOCIATES OF MICHIGAN, PLLC
Internal Medicine (Geriatric Medicine)
28655 HOOVER RD
WARREN, MI 48093
Macomb County (586) 393-1330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Dudovitz's NPI number?

The NPI number for Jennifer Dudovitz is 1790720225. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Jennifer Dudovitz located?

Jennifer Dudovitz practices at 28655 Hoover Rd, Warren, MI 48093. The listed phone number is (586) 751-0400.

What is Jennifer Dudovitz's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jennifer Dudovitz enrolled in Medicare?

Yes. Jennifer Dudovitz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Dudovitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dudovitz reassigns Medicare benefits to Heritage Optical Center Inc (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Dudovitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Dudovitz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 13 other insurers list Jennifer Dudovitz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Dudovitz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.