Underwood Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1245 Issued in CO

Legal business name

UNDERWOOD OPTICAL INC

Practice address

22 S Beech St
Cortez, CO 81321-3744

Phone

(970) 565-7195

Fax

(970) 565-7171

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Underwood, OD

Title

Optometrist

Phone

(970) 565-7195

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1700080769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813210959",
            "telephone_number": "970-565-7195",
            "fax_number": "970-565-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S BEECH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213744",
            "telephone_number": "970-565-7195",
            "fax_number": "970-565-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "970-565-7195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1245",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08124596",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3444",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Treinen, D.C.
• Joanie P Trussel, MA
• Kenneth Scott Tullis, D.C.
• Susan Ullman, PT
• Underwood Eye Care, PC
• Robert D Underwood, OD
• Robert Tyler Underwood, O.D.
• Daniel Glenn Valverde, PHARMACIST
• Jerry Vandiver, R.PH.
• Anthony F Verow, MD

• Eyewear Supplier in Cortez, CO
• Providers in Cortez, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.