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

2202 Daniel Creek Rd
Collinsville, VA 24078-1370

Phone

(276) 647-3861

Fax

(276) 647-4217

NPI assigned

Jan 10, 2007

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

(276) 647-3861

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 3

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

• Rhonda K Clark, NP

  • Nurse Practitioner
  • Bassett, VA
  • NPI 1154379451
  NPD (past)
• Sarah Keaton, FNP-BC

  • Family Medicine Physician
  • Callands, VA
  • NPI 1497356554
  NPD (past)
• Julia Hodnett Lang, FNP-C

  • Family Nurse Practitioner
  • Collinsville, VA
  • NPI 1366710733
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1295884898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 DANIEL CREEK RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240781370",
            "telephone_number": "276-647-3861",
            "fax_number": "276-647-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 DANIEL CREEK RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240781370",
            "telephone_number": "276-647-3861",
            "fax_number": "276-647-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS E UNTERBRINK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "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": "276-647-3861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "036116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "90010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "VA01328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "5406473861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005066202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "912204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "VVA000025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Confident Care LLC
• Claudia Carol Jade Cooke
• Linnieanne Daniel, LCSW
• Allyson C Dillard
• Disability Health Supplies Inc
• Family Preservation Services, Inc
• Fieldale-Collinsville Volunteer Rescue Squad, Inc
• Flame Physical Therapy, PLLC
• Rebecca Aline Flannagan, RPH
• Nicholas John Forte, DMD

• Optometrist in Collinsville, VA
• Providers in Collinsville, 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.