Individual provider Active NPI

Eric Underwood, O.D.

  • Optometrist
  • Wexford, PA
National Provider Identifier
1962834069
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003640 Issued in PA
Practice address
6400 Brooktree CT Ste 220
Wexford, PA 15090-9271
Phone
(724) 935-5761
Fax
(724) 935-2245
NPI assigned
Jul 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8293-T TX
Optometrist 152W00000X OEG003640 PA Primary

Addresses

Primary practice location

6400 Brooktree CT Ste 220
Wexford, PA 15090-9271

Mailing address

6400 Brooktree CT Ste 220
Wexford, PA 15090-9271
Phone (724) 935-5761

Other practice location 1

9950 Katy Freeway
Suite A
Houston, TX 77055
Phone (713) 335-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230913003566 PA Practitioner - Optometry 4789812041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6400 Brooktree CT
Suite 220
Wexford, PA 15090-9271
Phone 72493557619271

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8293TXMDDentist
OEG003640PAMDOptometrist
8293-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wexford Eyecare PC Optometrist CurrentSince Jun 28, 2023 Accepting new patients
Tso Kingwood North Park PA Optometrist Past Accepting new patients
Northshore Tso, Inc. Optometrist Past Accepting new patients

Locations

6400 Brooktree Ct
Ste 220
Wexford, PA 15090
Phone (724) 935-5761

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1962834069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 220",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909271",
            "telephone_number": "724-935-5761",
            "fax_number": "724-935-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 220",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909271",
            "telephone_number": "724-935-5761",
            "fax_number": "724-935-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9950 Katy Freeway",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77055",
            "country_code": "US",
            "telephone_number": "713-335-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8293-T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.