Underwood Optical Inc is a medicare enrolled "Eyewear Supplier" provider in Cortez, Colorado. Their current practice location is
22 S Beech St, Cortez, Colorado. You can reach out to their office (for appointments etc.) via phone at
(970) 565-7195.
Underwood Optical Inc is licensed to practice in Colorado (license number 1245) and it also participates in the medicare program. Underwood Optical Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700080769.
Healthcare Provider's Profile
| Full Name | Underwood Optical Inc |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 22 S Beech St, Cortez, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700080769
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 11/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 6800914102
- Enrollment ID: O20110118001315
Medical Identifiers
Medical identifiers for Underwood Optical Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700080769 | NPI | - | NPPES |
| 08124596 | Medicaid | CO | |
| 3444 | Other | CO | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1245 (Colorado) | Secondary |
| 332H00000X | Eyewear Supplier | 1245 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Underwood Optical Inc acts as a billing entity for following providers:
| Provider Name | Robert D Underwood |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1962420513
PECOS PAC ID: 1658482815
Enrollment ID: I20110121000978 |
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| Provider Name | Ha Thi K Huynh |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1558542563
PECOS PAC ID: 2163504937
Enrollment ID: I20151228000370 |
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| Provider Name | Robert Tyler Underwood |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1295389112
PECOS PAC ID: 1052743812
Enrollment ID: I20191115001533 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Underwood Optical Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Underwood Optical Inc
Po Box 959,
Cortez, CO 81321-0959
Ph: (970) 565-7195 | Underwood Optical Inc
22 S Beech St,
Cortez, CO 81321-3744
Ph: (970) 565-7195 |
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