Individual
MR. THOMAS EDWARD UNTERBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2202 DANIELS CREEK ROAD, COLLINSVILLE, VA 24078-1370
(276) 647-3861
(276) 647-4217
Mailing address
2202 DANIELS CREEK ROAD, 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
—
0808310002
DMEPOS
—
Enumeration date
09/15/2006
Last updated
07/08/2007
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