Underwood, Lance E

Underwood, Lance E is an individual health care provider with primary practice located at 915 N Dupont Blvd Ste 1 , Milford DE 19963. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Underwood, Lance E can be contacted via phone (302) 651-4413.

Contact Information

Primary practice address
915 N Dupont Blvd Ste 1 Milford DE 19963
Fax: (302) 651-4445
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 130001298 Delaware

Profile Details

NPI number 1407823933
LBN Legal business name Underwood, Lance E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407823933 NPPES
Delaware Other 161525705 BCBSDE
Delaware MEDICAID 1000038371 BCBSDE

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