Unknown Individual – Optometrist, NPI 1528145786

Unknown Individual is a healthcare provider. based in Delray beach, Florida. specializing in Optometrist. They hold a License No. OPC1513 (FL). The NPI Number for Unknown Individual is 1528145786

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528145786
Phone
(561) 498-5007
Address
6618 W ATLANTIC AVE
Deactivation Date
14 February 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5614985007
Graduation Year
1978 (48 years ago)
PAC ID
0446283188
Group Practice PAC ID
7315196060
Professional Enrollment ID
I20050914000322
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Atlantic Avenue, Kingsland, Delray Beach, Palm Beach County, Florida, 33444, United States

    DELRAY BEACH, FL 33446

    Phone: (561) 498-5007

    Fax: (561) 496-3088

    Type: Location

  • 13517, La Mirada Circle, Pinewood Grove, Wellington, Palm Beach County, Florida, 33414, United States

    WELLINGTON, FL 334143955

    Phone: (561) 324-2976

    Type: Mailing

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 33446)

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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: 7315196060View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1528145786 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Optometrist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Delray Beach, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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