Unknown Individual – Optometrist, NPI 1811945322

Unknown Individual is a healthcare provider. based in Chesterfield, Michigan. specializing in Optometrist. They hold a License No. 4901002788 (MI). The NPI Number for Unknown Individual is 1811945322

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811945322
Phone
(586) 725-5600
Address
32090 23 MILE RD
Deactivation Date
16 September 2022

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
7719950732
Professional Enrollment ID
I20040827001205
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

  • 32090, 23 Mile Road, Chesterfield Township, Macomb County, Michigan, 48047, United States

    CHESTERFIELD, MI 480471901

    Phone: (586) 725-5600

    Fax: (586) 725-5600

    Type: Location

  • 53302, Franklin Drive, Starlite Meadows, Shelby Charter Township, Macomb County, Michigan, 48316, United States

    SHELBY TOWNSHIP, MI 483162418

    Phone: (586) 786-1084

    Fax: (586) 725-5600

    Type: Mailing

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.

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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 48047)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1811945322?
NPI 1811945322 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Chesterfield?
Unknown Individual currently maps to Chesterfield, Michigan in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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