Underkoffler, Jeffrey R

Underkoffler, Jeffrey R is an individual health care provider with primary practice located at 5 Neponset St , Worcester MA 01606-2714. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Underkoffler, Jeffrey R can be contacted via phone (508) 856-9599.

Contact Information

Primary practice address
5 Neponset St Worcester MA 01606-2714
Phone: (508) 856-9599
Fax: (508) 854-4997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3386 Massachusetts

Profile Details

NPI number 1518942929
LBN Legal business name Underkoffler, Jeffrey R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Sep 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518942929 NPPES
Other 7926634 AETNA US HEALTHCARE
Other B21211501 AETNA US HEALTHCARE
Other 0323837 AETNA US HEALTHCARE
Other 61202 AETNA US HEALTHCARE
MEDICAID 0323837 AETNA US HEALTHCARE
Other W15817 AETNA US HEALTHCARE
Other 042472266 AETNA US HEALTHCARE
Other 5901866 AETNA US HEALTHCARE
Other AA3020 AETNA US HEALTHCARE
Other 786730 AETNA US HEALTHCARE
Other 35371 AETNA US HEALTHCARE
Other W15817 AETNA US HEALTHCARE
Other 042472266 AETNA US HEALTHCARE
Other 2213190 AETNA US HEALTHCARE
Other 35371 AETNA US HEALTHCARE
Other W15817 AETNA US HEALTHCARE

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