Unknown Individual – Optometrist, NPI 1265562243

Unknown Individual is a healthcare provider. based in Mclean, Virginia. specializing in Optometrist. They hold a License No. 1121 (VA). The NPI Number for Unknown Individual is 1265562243

Main info

Organization
Inactive
45 Years Of Experience
Name
Unknown Individual
NPI
1265562243
Phone
(703) 442-0522
Address
6849 OLD DOMINION DR
Deactivation Date
18 February 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7039887744
Graduation Year
1981 (45 years ago)
PAC ID
8729185186
Professional Enrollment ID
I20070518000220
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

Provider Addresses for Unknown Individual

  • 6849 OLD DOMINION DR

    SUITE 300

    MCLEAN, VA 221013724

    Phone: (703) 442-0522

    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.

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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 22101)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1265562243 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Mclean?
Unknown Individual currently maps to Mclean, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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