Whalio Doctors

NPI 1700080769

Underwood Optical INC

Organisation Eyewear Supplier Cortez, CO

Practice location

Address
22 S Beech St, Cortez, CO 81321-3744
Phone
(970) 565-7195
Fax
(970) 565-7171
Mailing address
PO Box 959, Cortez, CO 81321-0959

Authorised official

Name
Robert D Underwood
Title
Optometrist
Phone
(970) 565-7195

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X Licence 1245 (CO)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1245 (CO)

Registry record

NPI
1700080769
Entity type
Organization
NPI issued
13 Jun 2007
Record last updated
3 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.