Unknown Individual – Optometrist, NPI 1649215476

Unknown Individual is a healthcare provider. based in Willmar, Minnesota. specializing in Optometrist. They hold a License No. 2069 (MN). The NPI Number for Unknown Individual is 1649215476

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649215476
Phone
(320) 235-1235
Address
2404 1ST ST S
Deactivation Date
13 February 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
8426075003
Professional Enrollment ID
I20051102000401
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

  • Hair We Are, 2404, 1st Street South, Willmar, Kandiyohi County, Minnesota, 56201, United States

    SUITE 1

    WILLMAR, MN 562016300

    Phone: (320) 235-1235

    Fax: (320) 235-9241

    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.

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 56201)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1649215476; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Willmar, Minnesota because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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