Individual provider Active NPI

David W Underwood, M.D.

  • Ophthalmology Physician
  • Jackson, TN
National Provider Identifier
1760425250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000019471 Issued in TN
Practice address
2273 N Highland Ave
Suite B
Jackson, TN 38305-4909
Phone
(731) 664-9977
Fax
(731) 664-9484
NPI assigned
Jun 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD0000019471 TN Primary

Addresses

Primary practice location

2273 N Highland Ave
Suite B
Jackson, TN 38305-4909

Mailing address

2273 N Highland Ave
Suite B
Jackson, TN 38305-4909
Phone (731) 664-9977

Other identifiers 3

IdentifierTypeStateIssuer
6959071OtherCIGNA
3044467MedicaidTN
4077483OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001150 TN Practitioner - Ophthalmology 2567450224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Eye Associates PCGroup PAC ID 4789780495, 8 clinicians

Practice addresses (Care Compare)

112 Stonebridge Blvd
Jackson, TN 38305-2038
Phone (731) 664-1994

202 W Church St
Lexington, TN 38351-2038
Phone (731) 664-1994

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 664-1994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.59 of 100Reported as group
Quality
92.12
Improvement activities
40
Cost
72.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000019471TNMDOphthalmology Physician
19471TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Eye Associates PC CurrentSince Nov 21, 2006 Accepting new patients
West Tennessee Eye Care, PC Ophthalmology Past Accepting new patients

Locations

112 Stonebridge Blvd
Jackson, TN 38305
Phone (800) 945-1994

200 W Church St
Lexington, TN 38351
Phone (731) 968-1812

202 W Church St
Lexington, TN 38351
Phone (731) 450-2663

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

Interoperability endpoints

  • Direct secure messaging: drunderwood@hugheseye.direct.eyemdemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760425250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 N HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054909",
            "telephone_number": "731-664-9977",
            "fax_number": "731-664-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 N HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054909",
            "telephone_number": "731-664-9977",
            "fax_number": "731-664-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000019471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6959071",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044467",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4077483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.