Jeffrey Alan Unterbrink, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6166T3081 Issued in OH

Practice address

2306 Harding Hwy
Rte 309
Lima, OH 45804-3426

Phone

(419) 225-7100

Fax

(419) 225-7317

NPI assigned

Jul 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Site of Delphos LLC

  • Optometrist
  • Delphos, OH
  • NPI 1417463118
  Medicare reassignment NPD Authorized official
• Jeffrey a Unterbrink OD Inc

  • Optometrist
  • Lima, OH
  • NPI 1598215949
  Medicare reassignment NPD Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1326303645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MACOMB PL",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435651",
            "telephone_number": "586-464-1479",
            "fax_number": "586-464-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 HARDING HWY",
            "address_2": "RTE 309",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043426",
            "telephone_number": "419-225-7100",
            "fax_number": "419-225-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERBRINK",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6166T3081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Idemudia Ukpokolo, MD
• Kelley Louise Ulis
• Krystal Umfleet, CNP
• Unbroken Physical Therapy LLC
• Kathleen Ung-Pham
• Terra Unterbrink, LSW
• Floyd Upshaw
• Jessica N Upshaw, LPN
• Urology Associates of Ohio, Inc.
• Usv Optical Inc.

• Optometrist in Lima, OH
• Providers in Lima, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.