Unknown Individual – Optometrist, NPI 1013026988

Unknown Individual is a healthcare provider. based in Manchester, Connecticut. specializing in Optometrist. They hold a License No. 000866 (CT). The NPI Number for Unknown Individual is 1013026988

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013026988
Phone
(860) 649-9973
Address
178 HARTFORD RD
Deactivation Date
28 December 2022

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8608706337
Graduation Year
1979 (47 years ago)
PAC ID
1052583382
Group Practice PAC ID
0547694465
Professional Enrollment ID
I20111011000330
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

  • 178, Hartford Road, Manchester, Hartford County, Connecticut, 06040, United States

    MANCHESTER, CT 060405986

    Phone: (860) 649-9973

    Fax: (860) 647-7424

    Mailing address matches the actual address.

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 06040)

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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: 0547694465View full group profile
NameSpecialtyState
O P T O M E T R YCT
O P T O M E T R YCT

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1013026988 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Manchester, Connecticut?
For routing, start with Manchester, Connecticut for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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