Unknown Individual – Optometrist, NPI 1811990633

Unknown Individual is a healthcare provider. based in Santa maria, California. specializing in Optometrist. They hold a License No. OPT7924T (CA). The NPI Number for Unknown Individual is 1811990633

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811990633
Phone
(805) 925-2637
Address
910 E STOWELL RD
Deactivation Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8057362020
Graduation Year
1978 (48 years ago)
PAC ID
3577513373
Group Practice PAC ID
5597715391
Professional Enrollment ID
I20050128000950
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

  • East Stowell Road, Santa Maria, Santa Barbara County, California, 93454, United States of America

    SANTA MARIA, CA 934547001

    Phone: (805) 925-2637

    Fax: (805) 347-0033

    Type: Mailing

  • West Central Avenue, Lompoc, Santa Barbara County, California, 93436, United States of America

    LOMPOC, CA 934362805

    Phone: (805) 736-2020

    Fax: (805) 737-1733

    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 93454)

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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
OPTOMETRYCA92012Eye and medical examination for diagnosis and treatment, established patient2726

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597715391View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P T O M E T R YCA
-CA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1811990633 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Santa Maria, California because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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