Unknown Individual – Optometrist, NPI 1912082850

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Optometrist. They hold a License No. 2951 (OH). The NPI Number for Unknown Individual is 1912082850

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912082850
Phone
(937) 241-7574
Address
17 IRONGATE DRIVE
Deactivation Date
22 November 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5136839710
Graduation Year
1970 (56 years ago)
PAC ID
8527305192
Group Practice PAC ID
2365566510
Professional Enrollment ID
I20190122001057
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

Provider Addresses for Unknown Individual

  • 17 IRONGATE DRIVE

    DAYTON, OH 45459

    Phone: (937) 241-7574

    Type: Location

  • PO BOX 41486

    DAYTON, OH 454410486

    Phone:

    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 45459)

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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: 2365566510View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1912082850?
NPI 1912082850 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Dayton, Ohio as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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