David J. Underill OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 001869 Issued in FL

Legal business name

DAVID J. UNDERILL OD

Practice address

520 South Parrott Ave
Okeechobee, FL 34974

Phone

(863) 763-4334

Fax

(863) 763-3226

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Shelly Carter

Title

Manager

Phone

(863) 763-4334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1083889455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOUTH PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34974",
            "telephone_number": "863-763-4334",
            "fax_number": "863-763-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SOUTH PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34974",
            "telephone_number": "863-763-4334",
            "fax_number": "863-763-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. UNDERILL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-763-4334"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 001869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078280700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Cornine
• Sandra M Cornine, APRN
• Amanda Day Curtis, ARNP
• Candice Danzey, ARNP
• David a. Sigalow, MD, PA
• Roger Franklin Davis Sr., D.D.S.
• Natdeilys De Armas Acosta
• Dental Surgery Specialists of Okeechobee
• Angeline C.N. Desai, M.D.
• Dana Sue Desantis, APRN

• Optometrist in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.