Unknown Individual – Optometrist, NPI 1760453526

Unknown Individual is a healthcare provider. based in Cypress, California. specializing in Optometrist. They hold a License No. 10078T (CA). The NPI Number for Unknown Individual is 1760453526

Main info

Organization
Inactive
33 Years Of Experience
Name
Unknown Individual
NPI
1760453526
Phone
Not provided
Address
10251 DELANO DR
Deactivation Date
9 May 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
5624390486
Graduation Year
1993 (33 years ago)
PAC ID
5799928230
Group Practice PAC ID
2961706130
Professional Enrollment ID
I20130830000404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 10251, Delano Drive, Cypress, Orange County, California, 90630, United States

    CYPRESS, CA 906304159

    Phone:

    Type: Mailing

  • 328, Redondo Avenue, Belmont Shore, Long Beach, Los Angeles County, California, 90814, United States

    LONG BEACH, CA 908142651

    Phone: (562) 439-0486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90630)

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Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCA92083Measurement of field of vision during daylight conditions1212

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1760453526 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Cypress, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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