Unknown Individual – Optometrist, NPI 1154382323

Unknown Individual is a healthcare provider. based in Winchester, Virginia. specializing in Optometrist. They hold a License No. 0618000568 (VA). The NPI Number for Unknown Individual is 1154382323

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1154382323
Phone
(540) 662-4463
Address
40B WEEMS LANE
Deactivation Date
11 September 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
8729267646
Professional Enrollment ID
I20110125000540
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Weems Lane, Winchester, Virginia, 22601, United States

    WINCHESTER, VA 226013602

    Phone: (540) 662-4463

    Fax: (540) 662-4460

    Type: Mailing

  • 40, Weems Lane, Winchester, Frederick County, Virginia, 22601, United States

    WINCHESTER, VA 226013602

    Phone: (540) 662-4463

    Fax: (540) 662-4460

    Type: Location

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 22601)

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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
OPTOMETRYVA92083Measurement of field of vision during daylight conditions4235
OPTOMETRYVA92134Diagnostic imaging of retina4941

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1154382323 for Unknown Individual.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Winchester, Virginia in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.