Unknown Individual – Optometrist, NPI 1972565786

Unknown Individual is a healthcare provider. based in Redding, California. specializing in Optometrist. They hold a License No. OPT4964-TPG (CA). The NPI Number for Unknown Individual is 1972565786

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972565786
Phone
(530) 222-2500
Address
3753 CHURN CREEK RD
Deactivation Date
30 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302222500
Graduation Year
1968 (58 years ago)
PAC ID
0143330647
Professional Enrollment ID
I20110419000464
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

Loading map...

Provider Addresses for Unknown Individual

  • 3753, Churn Creek Road, Enterprise, Redding, Shasta County, California, 96002, United States

    REDDING, CA 960022923

    Phone: (530) 222-2500

    Fax: (530) 222-2311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes495462$0
99212Established patient office or other outpatient visit, 10-19 minutes188111$0
92083Exam of visual field with extended testing9363$0
92133Imaging of optic nerve8256$0
99214Established patient office or other outpatient visit, 30-39 minutes5959$0
View full utilization report →

Insurance plans in this area (ZIP 96002)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1972565786 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Redding, California.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

Larkspur Optometry

Ophthalmology Physician
PO BOX 398986
NPI: 1346235603
2620, Larkspur Lane, Redding, Shasta County, California, 96002, United States
NPI: 1215910641
14793 RAVINE RD
NPI: 1952384745
3241, Churn Creek Road, Redding, Shasta County, California, 96002, United States
NPI: 1801871801
3241, Churn Creek Road, Redding, Shasta County, California, 96002, United States
NPI: 1548245467
3080, Victor Avenue, Enterprise, Redding, Shasta County, California, 96002, United States
NPI: 1699740456

Unknown Individual

Low Vision Rehabilitation Optometrist
420 COLA BALLENA APT F
NPI: 1598726234
2770 EUREKA WAY STE 100
NPI: 1568420214