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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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