Unknown Individual – Optometrist, NPI 1952388571

Unknown Individual is a healthcare provider. based in Middlebury, Vermont. specializing in Optometrist. They hold a License No. TUV003536-1 (NY). The NPI Number for Unknown Individual is 1952388571

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952388571
Phone
(802) 388-6565
Address
1330 EXCHANGE STREET
Deactivation Date
8 December 2020

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
8023886565
Graduation Year
1977 (49 years ago)
PAC ID
6406849918
Group Practice PAC ID
5496732083
Professional Enrollment ID
I20040408000132
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Planned Parenthood - Middlebury Health Center, 1330, Exchange Street, R.K. Miles Lumber, Middlebury, Addison County, Vermont, 05753, United States

    SUITE 102

    MIDDLEBURY, VT 05753

    Phone: (802) 388-6565

    Fax: (802) 388-3291

    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 05753)

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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
OPTOMETRYVT92083Measurement of field of vision during daylight conditions6968
OPTOMETRYVT92134Diagnostic imaging of retina4948

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: 5496732083View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVT
O P H T H A L M O L O G YVT

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1952388571.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Middlebury, Vermont may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.