Individual provider Active NPI

Anouk Underwood, O.D.

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1306801550
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
600 Issued in PR
Practice address
Profesional Hospital Num 10
Ave Las Cumbres Suite 104
Guaynabo, PR 00969-1111
Phone
(787) 513-4187
Fax
(787) 258-8225
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 600 PR Primary

Addresses

Primary practice location

Profesional Hospital Num 10
Ave Las Cumbres Suite 104
Guaynabo, PR 00969-1111

Mailing address

Edificio Famma
PMB 345 Ave Ashfor 1357
San Juan, PR 00907-1111
Phone (787) 513-4187

Other names 1

  • Anouk Michelle Underwood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000507 PR Practitioner - Optometry 5799948014 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Profesional Hospital Num
10 Ave Las Cubres Suite 104
Guaynabo, PR 00969-1111
Phone (787) 513-4187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
600PRMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
WD Vision LLC Optometrist CurrentSince Mar 5, 2023 Accepting new patients

Locations

10 Ave Las Cumbres
Ste 104
Guaynabo, PR 00969
Phone (787) 513-4187

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1306801550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO FAMMA",
            "address_2": "PMB 345 AVE ASHFOR 1357",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071111",
            "telephone_number": "787-513-4187",
            "fax_number": "787-258-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROFESIONAL HOSPITAL NUM 10",
            "address_2": "AVE LAS CUMBRES SUITE 104",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009691111",
            "telephone_number": "787-513-4187",
            "fax_number": "787-258-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ANOUK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANOUK",
            "last_name": "UNDERWOOD",
            "middle_name": "MICHELLE",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.