Unknown Individual – Optometrist, NPI 1629050703

Unknown Individual is a healthcare provider. based in Topeka, Kansas. specializing in Optometrist. They hold a License No. KS-1596 (KS). The NPI Number for Unknown Individual is 1629050703

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629050703
Phone
(785) 272-0707
Address
2800 SW WANAMAKER RD
Deactivation Date
23 August 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
0648163386
Professional Enrollment ID
I20040209000569
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

  • 2800, Southwest Wanamaker Road, Topeka, Shawnee County, Kansas, 66614, United States

    SUITE 192

    TOPEKA, KS 666144293

    Phone: (785) 272-0707

    Fax: (785) 271-1512

    Type: Mailing

  • The EyeDoctors, 2600, Iowa Street, Lawrence, Douglas County, Kansas, 66046, United States

    LAWRENCE, KS 660464152

    Phone: (785) 842-6999

    Fax: (785) 842-1291

    Type: Location

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
92014Established patient complete exam of visual system3030$0
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Insurance plans in this area (ZIP 66614)

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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
OPTOMETRYKS92083Measurement of field of vision during daylight conditions4341

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1629050703; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Topeka, Kansas for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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