Robert L Underberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2400 Issued in FL

Practice address

4101 Evans Ave
Fort Myers, FL 33901

Phone

(239) 939-3456

Fax

(239) 790-2432

NPI assigned

Nov 29, 2006

Last updated

Jan 17, 2014By 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

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Optometry PAGroup PAC ID 0941359533, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment Care Compare group NPD
• Robert L Underberg Jr

  • Optometrist
  • Cape Coral, FL
  • NPI 1316110224
  NPD (past) Authorized official
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Cape Coral, FL
  • NPI 1649325549
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1891862173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-939-3456",
            "fax_number": "239-790-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-939-3456",
            "fax_number": "239-790-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERBERG",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Maria Uguet
• Joe Ullrich, RPH
• Umbrella Spectrum LLC
• Jelissa Umpierre
• Unconditional at Home Care LLC
• Jeanette Allen Underhill, MD
• Thomas Alan Underhill, O.D.
• Timothy E. Underhill, O.D.
• Unified Care Home Health Services, Inc.
• Union Medical Group

• 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 Jan 17, 2014; 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.