Unknown Individual – Optometrist, NPI 1891730131

Optometrist

Unknown Individual is a healthcare provider. based in Weatherford, Texas. specializing in Optometrist. They hold a License No. 04426T (TX). The NPI Number for Unknown Individual is 1891730131

Main info

Organization

Inactive

47 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1891730131

Phone

(817) 596-7007

Address

1836 S MAIN ST

Deactivation Date

16 August 2023

Doctor Profile

Medical School Name

SOUTHERN COLLEGE OF OPTOMETRY

Secondary Phone

Graduation Year

1979 (47 years ago)

PAC ID

4587660451

Professional Enrollment ID

I20061017000219

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

Walmart Supercenter, 1836, South Main Street, Weatherford, Parker County, Texas, 76086, United States
SUITE 101
WEATHERFORD, TX 760865561
Phone: (817) 596-7007
Fax: (817) 596-4468
Type: Location
South Main Street, Weatherford, Parker County, Texas, 76086, United States
WEATHERFORD, TX 760865561
Phone: (817) 596-7007
Fax: (817) 596-4468
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 76086)

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Reviews

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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 1891730131.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Optometrist. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Weatherford, Texas?

If you are local to Weatherford, Texas, Unknown Individual may be relevant to your search.

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.