Individual
JEFFREY R UNDERKOFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 856-9599
(508) 854-4997
Mailing address
5 NEPONSET ST FL STREET12, WORCESTER, MA 01606-2714
(508) 856-9599
(508) 854-4997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3386
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0323837
WELFARE
—
05
—
0323837
—
MA
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
2213190
FIRST HEALTH
—
01
—
35371
CHILDRENS MEDICAL SECURIT
—
01
—
5901866
CIGNA HEALTH PLAN
—
01
—
61202
FALLON COMMUNITY HEALTH
—
01
—
786730
MVP HEALTH CARE
—
01
—
7926634
AETNA US HEALTHCARE
—
01
—
AA3020
HARVARD PILGRIM HEALTHCAR
—
01
—
B21211501
CIGNA HEALTH PLAN
—
01
—
W15817
BLUE SHIELD HMO BLUE
—
Enumeration date
12/08/2005
Last updated
09/26/2018
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