Unknown Individual – Optometrist, NPI 1396739082

Unknown Individual is a healthcare provider. based in Burlington, Iowa. specializing in Optometrist. They hold a License No. 1761 (IA). The NPI Number for Unknown Individual is 1396739082

Main info

Organization
Inactive
45 Years Of Experience
Name
Unknown Individual
NPI
1396739082
Phone
(319) 754-5022
Address
3337 AGENCY ST
Deactivation Date
20 September 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3197545022
Graduation Year
1981 (45 years ago)
PAC ID
0648237008
Professional Enrollment ID
I20041216000921
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

  • 3337, East Agency Street, Burlington, Des Moines County, Iowa, 52601, United States

    BURLINGTON, IA 526011959

    Phone: (319) 754-5022

    Fax: (319) 754-0411

    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.

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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 52601)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1396739082.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Optometrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Burlington, Iowa may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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