David J. Underill Od

LBN: David J. Underill Od
David J. Underill Od is an health care organization with primary practice located at 520 South Parrott Ave , Okeechobee FL 34974. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. David J. Underill Od can be contacted via phone (863) 763-4334, or through Carter, Shelly via phone (863) 763-4334.

Contact Information

Primary practice address
520 South Parrott Ave Okeechobee FL 34974
Phone: (863) 763-4334
Fax: (863) 763-3226
Website:
Map and Directions
Authorized official contact:
Name: Carter, Shelly
Phone: (863) 763-4334

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 001869 Florida

Profile Details

NPI number 1083889455
LBN Legal business name David J. Underill Od
DBA Doing business as
Authorized official Carter, Shelly
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Oct 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083889455 NPPES
Florida MEDICAID 078280700

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