Unknown Individual – Optometrist, NPI 1073651634

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Optometrist. They hold a License No. 18002049 (IN). The NPI Number for Unknown Individual is 1073651634

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073651634
Phone
(317) 254-6480
Address
9795 CROSSPOINT BLVD
Deactivation Date
10 February 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7656492278
Graduation Year
1982 (44 years ago)
PAC ID
3779757190
Group Practice PAC ID
5496091316
Professional Enrollment ID
I20111122000187
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

Loading map...

Provider Addresses for Unknown Individual

  • Residence Inn Indianapolis Fishers, 9765, Crosspoint Boulevard, Indianapolis, Hamilton County, Indiana, 46256, United States

    SUITE 100

    INDIANAPOLIS, IN 462563354

    Phone: (317) 254-6480

    Fax: (317) 259-8609

    Type: Mailing

  • 1921, East 53rd Street, Anderson, Madison County, Indiana, 46013, United States

    ANDERSON, IN 460134029

    Phone: (765) 649-2278

    Fax: (765) 622-7171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 46256)

Loading plans...

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: 5496091316View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1073651634.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Indianapolis, Indiana because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1073651634. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

1033, Jackson Street, Columbus, Bartholomew County, Indiana, 47201, United States
NPI: 1942205687
9795 CROSSPOINT BLVD
NPI: 1194720607
1511, North Post Road, Washington Place, Indianapolis, Indiana, 46219, United States
NPI: 1104825900

IU EYE CARE INC.

Ophthalmology Physician
1160, West Michigan Street, Indianapolis, Marion, Indiana, 46202, United States
NPI: 1548261894
200, North Shadeland Avenue, Indianapolis, Marion, Indiana, 46219, United States
NPI: 1649271867
Lacy Building/Test Building, 54, Monument Circle, Indianapolis, Marion, Indiana, 46204, United States
NPI: 1134121643
Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States
NPI: 1639162811

Ossip Optometry

Optometrist
643, Ohio Street, Terre Haute, Vigo County, Indiana, 47807, United States
NPI: 1891788402