Organization
DR THOMAS E UNTERBRINK OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD UNTERBRINK OD (PRESIDENT)
(276) 647-3861
Entity
Organization
Contact information
Practice address
2202 DANIEL CREEK RD, COLLINSVILLE, VA 24078-1370
(276) 647-3861
(276) 647-4217
Mailing address
2202 DANIEL CREEK RD, COLLINSVILLE, VA 24078-1370
(276) 647-3861
(276) 647-4217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000365
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005066202
AETNA
—
01
—
036116
ANTHEM
—
01
—
50496
DAVIS VISION
—
01
—
5406473861
VISION SERVICE PLAN
—
01
—
90010
SPECTERA
—
01
—
912204
EYEMED
—
01
—
VA01328
VISION BENEFITS OF AMERIC
—
01
—
VVA000025
AVESIS
—
Enumeration date
01/10/2007
Last updated
07/17/2008
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