Unknown Individual – Corneal and Contact Management Optometrist, NPI 1558365221

Unknown Individual is a healthcare provider. based in Randolph, Massachusetts. specializing in Corneal and Contact Management Optometrist. They hold a License No. 2720 (MA). The NPI Number for Unknown Individual is 1558365221

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1558365221
Phone
(781) 961-2779
Address
15 THORNTON ST
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
9931118494
Professional Enrollment ID
I20060411000358
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

  • 15, Thornton Street, North Randolph, Randolph, Norfolk County, Massachusetts, 02368, United States

    RANDOLPH, MA 023682030

    Phone: (781) 961-2779

    Fax: (508) 673-2370

    Type: Mailing

  • Newton Street, Fall River, Bristol County, Massachusetts, 02724, United States

    FALL RIVER, MA 027212366

    Phone: (508) 673-2370

    Fax: (508) 673-5834

    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.

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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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system1615$0
92284Evaluation of eye adaptation to light and dark with interpretation and report1615$0
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Insurance plans in this area (ZIP 02368)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1558365221 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Randolph, Massachusetts may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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