Unknown Individual – Optometrist, NPI 1508917931

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Optometrist. They hold a License No. 3070 (OH). The NPI Number for Unknown Individual is 1508917931

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1508917931
Phone
(513) 731-6587
Address
9897 MONTGOMERY RD
Deactivation Date
10 July 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8122656222
Graduation Year
1973 (53 years ago)
PAC ID
1557680758
Group Practice PAC ID
0648257022
Professional Enrollment ID
I20150511001930
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

Loading map...

Provider Addresses for Unknown Individual

  • Montgomery Road, O’Bryonville, Evanston, Cincinnati, Hamilton County, Ohio, 45207, United States

    CINCINNATI, OH 452426424

    Phone: (513) 731-6587

    Type: Location

  • 4240 MARIVAL WAY

    MASON, OH 450402863

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 45242)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648257022View full group profile
NameSpecialtyState
-IN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1508917931.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Cincinnati, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
NPI: 1871595025
9811 HUMPHREY RD
NPI: 1013912401
Cheviot Avenue, Cheviot, Hamilton County, Ohio, 45211, United States
NPI: 1376548891
6725 MIAMI AVE STE 101
NPI: 1649277062
4424 AICHOLTZ RD STE H
NPI: 1194723767
Winton Road, Finneytown, Cincinnati, Hamilton County, Ohio, 45224-1712, United States
NPI: 1245239573
5537 BRIDGETOWN RD
NPI: 1679573216
402 Premium Outlets Dr
NPI: 1508858267
6489 SUTCLIFFE DR
NPI: 1245224476