Timothy E. Underhill, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001788 Issued in FL

Practice address

5995 S Pointe Blvd
Ste 111
Fort Myers, FL 33919-3273

Phone

(239) 482-0355

Fax

(239) 482-8930

NPI assigned

Jun 21, 2005

Last updated

Mar 16, 2015By the provider in NPPES

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 1

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.79 of 100Reported as individual

Quality

65.58

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.underhill@direct.revolutionehr.com

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

• Doctors Eyecare Center of SW Florida, LLC

  dba Doctors Eyecare Centers

  • Optometrist
  • Fort Myers, FL
  • NPI 1669545737
  Medicare reassignment NPD Authorized official
• Vidya P Kini MD PL

  • Specialist
  • Fort Myers, FL
  • NPI 1336384643
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1629074067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 S POINTE BLVD",
            "address_2": "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",
            "address_2": "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": "TIMOTHY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078232700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelissa Umpierre
• Unconditional at Home Care LLC
• Robert L Underberg, OD
• Jeanette Allen Underhill, MD
• Thomas Alan Underhill, O.D.
• Unified Care Home Health Services, Inc.
• Union Medical Group
• Unique Behavioral Practice Corp
• United Care Team PLLC
• United Home Care Services of Southwest Florida, LLC

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.