Unknown Individual – Optometrist, NPI 1295813673

Unknown Individual is a healthcare provider. based in Sequim, Washington. specializing in Optometrist. They hold a License No. OD00000601 (WA). The NPI Number for Unknown Individual is 1295813673

Main info

Organization
Inactive
70 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295813673
Phone
(360) 683-3389
Address
PO BOX 549
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3606833389
Graduation Year
1956 (70 years ago)
PAC ID
3173665296
Group Practice PAC ID
3274421342
Professional Enrollment ID
I20100208000823
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

  • PO BOX 549

    SEQUIM, WA 983820549

    Phone: (360) 683-3389

    Fax: (360) 683-7069

    Type: Mailing

  • Sequim, Clallam County, Washington, 98382, United States

    SEQUIM, WA 98382

    Phone: (360) 683-3389

    Fax: (360) 683-7069

    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 98382)

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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: 3274421342View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YTX

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1295813673 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Sequim, Washington because that is what the record indicates for Unknown Individual.
What if Sequim, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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