Organization
DR THOMAS E UNTERBRINK OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD UNTERBRINK OD (PRESIDENT)
(540) 586-3560
Entity
Organization
Contact information
Practice address
130B W MAIN ST, BEDFORD, VA 24523-1941
(540) 586-3560
(540) 586-0075
Mailing address
130B WEST MAIN ST, BEDFORD, VA 24523-1941
(540) 586-3560
(540) 586-0075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000365
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25370
SPECTERA
—
01
—
394643
ANTHEM
—
01
—
5405863560
VISION SERVICE PLAN
—
01
—
912204
EYEMED
—
Enumeration date
12/26/2006
Last updated
07/17/2008
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