Unknown Individual – Optometrist, NPI 1275617136

Unknown Individual is a healthcare provider. based in Norwich, Connecticut. specializing in Optometrist. They hold a License No. 000630 (CT). The NPI Number for Unknown Individual is 1275617136

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275617136
Phone
(860) 887-2060
Address
110 LAFAYETTE ST
Deactivation Date
31 January 2024
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

  • 110, Lafayette Street, Chelsea Parade Historic District, Norwich, New London County, Connecticut, 06360, United States

    NORWICH, CT 063602736

    Phone: (860) 887-2060

    Fax: (860) 887-9991

    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 06360)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1275617136 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Norwich, Connecticut; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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