Unknown Individual – Optometrist, NPI 1346243425

Optometrist

Unknown Individual is a healthcare provider. based in Mount dora, Florida. specializing in Optometrist. They hold a License No. OP0001801 (FL). The NPI Number for Unknown Individual is 1346243425

Main info

Organization

Inactive

51 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1346243425

Phone

(352) 735-2020

Address

17560 HIGHWAY 441

Deactivation Date

29 March 2023

Doctor Profile

Medical School Name

ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO

Secondary Phone

3527447002

Graduation Year

1975 (51 years ago)

PAC ID

1658404280

Group Practice PAC ID

4385678747

Professional Enrollment ID

I20180320001370

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

County Road 19A, Mount Dora, Lake County, Florida, 32757, United States
MOUNT DORA, FL 327576711
Phone: (352) 735-2020
Fax: (352) 735-3233
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 32757)

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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: 4385678747View full group profile

Name	Specialty	State
KEITH C CHARLES (MD)	O P H T H A L M O L O G Y	FL
DR. WILLIAM PLUM (MD)	O P H T H A L M O L O G Y	FL
EDYTA H WEPPELMANN (OD)	O P T O M E T R Y	FL
GREGORY J PANZO (MD)	O P H T H A L M O L O G Y	FL
DR. MARGI A PATEL (O.D.)	-	FL
MARICELY GONZALEZ MACION (O.D.)	O P T O M E T R Y	FL
RAOUL D MAIZEL (MD)	O P H T H A L M O L O G Y	FL
DR. JEFFREY D BAUMANN (MD)	O P H T H A L M O L O G Y	FL

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1346243425.

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 Mount Dora, Florida?

For routing, start with Mount Dora, Florida for Unknown Individual, then verify phone and hours locally.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.