Unknown Individual – Optometrist, NPI 1356353213

Unknown Individual is a healthcare provider. based in Granville, Ohio. specializing in Optometrist. They hold a License No. 3582T (OH). The NPI Number for Unknown Individual is 1356353213

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356353213
Phone
(740) 587-4741
Address
205 1/2 S PROSPECT ST
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7405874741
Graduation Year
1979 (47 years ago)
PAC ID
3476678608
Professional Enrollment ID
I20100913000100
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

  • 205, South Prospect Street, Granville Historic District, Granville, Granville Township, Licking County, Ohio, 43023, United States

    GRANVILLE, OH 430231423

    Phone: (740) 587-4741

    Fax: (740) 587-4135

    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 43023)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1356353213 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Granville, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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