MR. TERRELL THOMPSON UNDERWOOD L.D.O. NPI 1881729788

NPI Information

NPI: 1881729788
Provider Name: MR. TERRELL THOMPSON UNDERWOOD, L.D.O.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
805 COMMERCE DR SW
SUITE A
CONYERS, GA
ZIP 30094
Phone: (770) 483-4831
Get Directions

MR. Terrell Thompson Underwood, L.D.O. is an optician technician technologist in Conyers, GA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Terrell Thompson Underwood, L.D.O. NPI is 1881729788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

805 COMMERCE DR SW
SUITE A
CONYERS, GA
ZIP 30094-606
Phone: (770) 483-4831
Fax: (770) 483-4840

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	LDO000310	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0255320001	MEDICARE NSC	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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