Unknown Individual – Optometrist, NPI 1386649838

Unknown Individual is a healthcare provider. based in Reading, Pennsylvania. specializing in Optometrist. They hold a License No. OEG000941 (PA). The NPI Number for Unknown Individual is 1386649838

Main info

Organization
Inactive
59 Years Of Experience
Name
Unknown Individual
NPI
1386649838
Phone
(610) 921-9200
Address
500 JEFFERSON ST
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6109219200
Graduation Year
1967 (59 years ago)
PAC ID
8022069871
Group Practice PAC ID
7911970611
Professional Enrollment ID
I20050209000299
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

  • Jefferson Street, Reading, Berks County, Pennsylvania, 19601, United States

    READING, PA 196053114

    Phone: (610) 921-9200

    Fax: (610) 929-1533

    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 19605)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1386649838 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Reading, Pennsylvania; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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