Unknown Individual – Optometrist, NPI 1245325133

Unknown Individual is a healthcare provider. based in Boca raton, Florida. specializing in Optometrist. They hold a License No. 1674 (FL). The NPI Number for Unknown Individual is 1245325133

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245325133
Phone
(561) 451-8115
Address
11368 ISLAND LKS LN
Deactivation Date
4 December 2025

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
4981869575
Professional Enrollment ID
I20120705000352
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

  • 11368 ISLAND LKS LN

    BOCA RATON, FL 334986805

    Phone: (561) 451-8115

    Type: Mailing

  • Coconut Creek Parkway, Coconut Creek Park, Coconut Creek, Broward County, Florida, 33066, United States

    COCONUT CREEK, FL 33063

    Phone: (954) 970-4266

    Fax: (954) 975-0416

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $321.

Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($122).

Total Amount

$321

General + Research + Ownership

Payments

8

Total payment records

General Amount

$321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
92014Established patient complete exam of visual system3636$0
92004New patient complete exam of visual system3232$0
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Insurance plans in this area (ZIP 33498)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1245325133 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Boca Raton?
Public fields place Unknown Individual around Boca Raton, Florida. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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