Unknown Individual – Optometrist, NPI 1588998991

Unknown Individual is a healthcare provider. based in Tualatin, Oregon. specializing in Optometrist. They hold a License No. 3400ATI (OR). The NPI Number for Unknown Individual is 1588998991

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588998991
Phone
(503) 691-2283
Address
19801 SW 72ND AVE STE 150
Deactivation Date
29 May 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5097360826
Graduation Year
2011 (15 years ago)
PAC ID
4082868757
Group Practice PAC ID
7517864119
Professional Enrollment ID
I20130205000041

Contacts

Secure Messaging
oliver.kuhnwilken.p1@direct.pcli.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 19801 SW 72ND AVE STE 150

    TUALATIN, OR 970628347

    Phone: (503) 691-2283

    Fax: (503) 691-5981

    Type: Location

  • Chehalis Post Office, Northwest Center Street, Chehalis, Lewis County, Washington, United States

    CHEHALIS, WA 985320409

    Phone: (360) 242-3008

    Fax: (360) 807-7687

    Type: Mailing

  • 2915, South Alder Street, Tacoma, Pierce County, Washington, 98409, United States

    TACOMA, WA 984094803

    Phone: (253) 473-0275

    Fax: (253) 473-0706

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $4,144.

Total Amount is formed as General ($4,144) + Research ($0) + Ownership ($0) = $4,144.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($4,124).

Total Amount

$4,144

General + Research + Ownership

Payments

3

Total payment records

General Amount

$4,144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes267267$0
92136Measurement of corneal curvature and depth of eye124124$0
99214Established patient office or other outpatient visit, 30-39 minutes5853$0
92134Imaging of retina2424$0
92020Exam of the internal drainage system of eye2020$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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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: 7517864119View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P T O M E T R YWA
Certified Registered Nurse Anesthetist (Crna)WA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YOR
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1588998991 if you need a stable reference for Unknown Individual.
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.
What location metadata exists for Unknown Individual?
The page summarizes Tualatin, Oregon for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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