Provider Demographics
NPI:1841164282
Name:UNDERWOOD, BRITTANY EILEEN
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:EILEEN
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-1337
Mailing Address - Country:US
Mailing Address - Phone:540-720-9255
Mailing Address - Fax:540-657-1335
Practice Address - Street 1:413 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-1337
Practice Address - Country:US
Practice Address - Phone:540-720-9255
Practice Address - Fax:540-657-1335
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101004660156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician