Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043284581 Individual Practitioner Male Practitioner

Dr. Jerald P Underdahl , MD

Ophthalmology • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jerald Underdahl, MD is a registered healthcare professional specializing in Ophthalmology in Phoenix, AZ. Practice services are available at 1331 N 7TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1331 N 7th St
100

Phoenix, AZ 850062754

Telephone 6022222234
Fax 8669857247
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
100 Specialists

Practicing in Phoenix, AZ (384 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 28541

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
524513 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1013400795

Doctor of Optometry

NPI 1124868377

Doctor of Optometry

NPI 1275912347

Doctor of Medicine (M.D.)

NPI 1346082815

Doctor of Optometry

NPI 1356505960

Doctor of Optometry

Dr. Dejana Grk , OD

Optometrist - Pediatrics

NPI 1447692793

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 1331 N 7TH ST, 100, PHOENIX, AZ 850062754 (Tel: 6022222234)

📍
Updated Business Mailing Address June 28, 2016

Registered at PO BOX 97876, PHOENIX, AZ 850607876 (Tel: 6022222234)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as JERALD UNDERDAHL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Ophthalmology (License #28541 in AZ)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043284581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: June 28, 2016
Sole Proprietor: No

Mailing Address

Po Box 97876

Phoenix, AZ 850607876

Phone: 6022222234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.