Unknown Individual – Optometrist, NPI 1912977265

Unknown Individual is a healthcare provider. based in San pedro, California. specializing in Optometrist. The NPI Number for Unknown Individual is 1912977265

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912977265
Phone
(310) 833-2495
Address
625 W 9TH ST
Deactivation Date
30 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 625, West 9th Street, San Pedro, Los Angeles, Los Angeles County, California, 90731, United States

    SAN PEDRO, CA 907313107

    Phone: (310) 833-2495

    Fax: (310) 833-2484

    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 90731)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1912977265.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface San Pedro, California for Unknown Individual based on available NPPES addresses.
What if San Pedro, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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