Unknown Individual – Optometrist, NPI 1427073121

Unknown Individual is a healthcare provider. based in Fayetteville, Georgia. specializing in Optometrist. They hold a License No. GA800 (GA). The NPI Number for Unknown Individual is 1427073121

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427073121
Phone
(770) 461-2144
Address
320 N JEFF DAVIS DRIVE
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7704612144
Graduation Year
1996 (30 years ago)
PAC ID
7214041250
Group Practice PAC ID
6406157841
Professional Enrollment ID
I20120105000343
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

  • Jeff Davis Drive, Fenwyck, Fayetteville, Fayette, Georgia, 30214, United States

    SUITE A

    FAYETTEVILLE, GA 30214

    Phone: (770) 461-2144

    Fax: (770) 461-5792

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens1,08012$0
92014Established patient complete exam of visual system157156$0
92012Established patient problem focused exam of visual system11374$0
92083Exam of visual field with extended testing1514$0
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Insurance plans in this area (ZIP 30214)

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Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYGA92012Eye and medical examination for diagnosis and treatment, established patient197137
OPTOMETRYGA92083Measurement of field of vision during daylight conditions2624

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1427073121 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Fayetteville, Georgia as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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