Unknown Individual – Optometrist, NPI 1578567483

Unknown Individual is a healthcare provider. based in Tukwila, Washington. specializing in Optometrist. They hold a License No. OD00002097 (WA). The NPI Number for Unknown Individual is 1578567483

Main info

Organization
Inactive
34 Years Of Experience
Name
Unknown Individual
NPI
1578567483
Phone
(206) 575-4396
Address
411 STRANDER BLVD
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2065754397
Graduation Year
1992 (34 years ago)
PAC ID
1456487024
Professional Enrollment ID
I20100407000658
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

  • Eye 5 Optical, 411, Strander Boulevard, Tukwila, King County, Washington, 98188, United States

    STE 202

    TUKWILA, WA 981882959

    Phone: (206) 575-4396

    Fax: (206) 575-8615

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Thea Pharma Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Thea Pharma Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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 98188)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1578567483 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
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.
What location shows for Unknown Individual?
We surface Tukwila, Washington for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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