Organization Active NPI

Underwood Eye Care, PC

  • Optometrist
  • Cortez, CO
National Provider Identifier
1003532755
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UNDERWOOD EYE CARE, PC
Practice address
22 S Beech St
Cortez, CO 81321-3744
Phone
(970) 739-6489
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Tyler Underwood, O.D.NPI 1295389112
Title
Ceo/Optometrist
Phone
(970) 739-6489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

22 S Beech St
Cortez, CO 81321-3744

Mailing address

22 S Beech St
Cortez, CO 81321-3744
Phone (970) 565-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230123000101 CO Part B Supplier - Clinic/Group Practice 7911378385 Receives reassigned benefits from 2 practitioners
Practice locations: Cortez, CO

National Provider Directory

National Provider Directory

Locations

22 S Beech St
Cortez, CO 81321
Phone (970) 259-2202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1003532755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S BEECH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213744",
            "telephone_number": "970-565-7195",
            "fax_number": "970-565-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S BEECH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213744",
            "telephone_number": "970-739-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "970-739-6489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.