Unknown Individual – Optometrist, NPI 1801902903

Unknown Individual is a healthcare provider. based in Mansfield, Ohio. specializing in Optometrist. They hold a License No. 2934 (OH). The NPI Number for Unknown Individual is 1801902903

Main info

Organization
Inactive
56 Years Of Experience
Name
Unknown Individual
NPI
1801902903
Phone
(419) 750-8204
Address
1260 LEXINGTON AVE
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4197568204
Graduation Year
1970 (56 years ago)
PAC ID
1850558891
Professional Enrollment ID
I20130107000217
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1260, Lexington Avenue, Mansfield, Richland County, Ohio, 44907, United States

    MANSFIELD, OH 44907

    Phone: (419) 750-8204

    Fax: (419) 756-0286

    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 44907)

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Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92012Eye and medical examination for diagnosis and treatment, established patient7877

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1801902903 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Mansfield?
Public fields place Unknown Individual around Mansfield, Ohio. Always confirm the exact site before visiting.
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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