Dr Thomas E Unterbrink OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000365 Issued in VA

Legal business name

DR THOMAS E UNTERBRINK OD PC

Practice address

130B W Main St
Bedford, VA 24523-1941

Phone

(540) 586-3560

Fax

(540) 586-0075

NPI assigned

Dec 26, 2006

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Edward Unterbrink, OD

Title

President

Phone

(540) 586-3560

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1124183744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130B WEST MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231941",
            "telephone_number": "540-586-3560",
            "fax_number": "540-586-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130B W MAIN ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231941",
            "telephone_number": "540-586-3560",
            "fax_number": "540-586-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS E UNTERBRINK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "UNTERBRINK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-586-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "912204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "394643",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "5405863560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Dittler, CRNA
• Matthew Lee Dixon, PHARMD
• Jaena Michelle Dominguez, PA-C
• Sheena Renee Dooley
• Mary Allene Doss
• Catherine D. Dudley, PT
• Lynn Marshall Dunn, RPH
• John Michael Earsing, D.C.
• Brittany Elliott
• Travis Elliott, LPTA

• Optometrist in Bedford, VA
• Providers in Bedford, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.