Active NPI
Thomas Alan Underhill, O.D.
- Optometrist
- Fort Myers, FL
National Provider Identifier
1477079598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5456
- Practice address
- 5995 S Pointe Blvd Ste 111
Fort Myers, FL 33919-3273 - Phone
- (239) 482-0355
- Fax
- (239) 482-8930
- NPI assigned
- Aug 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5456 | FL | Primary |
Addresses
Primary practice location
5995 S Pointe Blvd Ste 111
Fort Myers, FL 33919-3273
Mailing address
5995 S Pointe Blvd Ste 111
Fort Myers, FL 33919-3273
Phone (239) 482-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1565 Matthew Dr
Suite 2
Fort Myers, FL 33907-1734
Phone (239) 482-0355
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidya P Kini MD PL | Current | Accepting new patients | |
| Doctors Eyecare Center of SW Florida, LLC | Optometrist | Current | Accepting new patients |
Locations
1565 Matthew Dr
Ste 2
Fort Myers, FL 33907
Phone (239) 274-5464
5995 S Pointe Blvd
Ste 111
Fort Myers, FL 33919
Phone (239) 482-0355
Interoperability endpoints
- thomas.underhill@direct.revolutionehr.com
Organizations & group practices 2
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.
-
- Optometrist
- Fort Myers, FL
- NPI 1669545737
-
- Specialist
- Fort Myers, FL
- NPI 1336384643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477079598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 S POINTE BLVD STE 111",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193273",
"telephone_number": "239-482-0355",
"fax_number": "239-482-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 S POINTE BLVD STE 111",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193273",
"telephone_number": "239-482-0355",
"fax_number": "239-482-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERHILL",
"first_name": "THOMAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.