Lance E Underwood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

130001298 Issued in DE

Practice address

915 N Dupont Blvd Ste 1
Milford, DE 19963

Phone

(302) 651-4413

Fax

(302) 651-4445

NPI assigned

Mar 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Pennsylvania College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Childrens Hospital Los Angeles Medical Group IncGroup PAC ID 0143126920, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Children'S Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653
  Medicare reassignment Care Compare group NPD
• Eye to Eye Optomety, LLC

  • Optometrist
  • Dover, DE
  • NPI 1588849772
  NPD (past)
• Vision Quest Eye Care Center Inc

  • Optometrist
  • Dover, DE
  • NPI 1821107558
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1407823933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631013",
            "telephone_number": "302-651-4413",
            "fax_number": "302-651-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N DUPONT BLVD STE 1",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-651-4413",
            "fax_number": "302-651-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Wolf Creek Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199014915",
            "country_code": "US",
            "telephone_number": "302-678-3932",
            "fax_number": "302-678-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "LANCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "130001298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSDE",
            "identifier": "161525705",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038371",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desirae Tiana Turner
• Ifeanyi Afam Udezulu, MD
• Danielle Lynn Uibel, DO, MPH
• Ultrasound Express LLC
• Muhammad Umair, MD
• Alison A Unitis, THERAPIST LPCMH
• Miranda Lynn Urquhart
• Margaret S Van de Loo, DC
• Vasavi Sruthi Veerapaneni, PA-C
• Francis Joseph Velez, M.D.

• Optometrist in Milford, DE
• Providers in Milford, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.