Unknown Individual – Optometrist, NPI 1477601516

Unknown Individual is a healthcare provider. based in Bridgeport, Connecticut. specializing in Optometrist. They hold a License No. 000674 (CT). The NPI Number for Unknown Individual is 1477601516

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477601516
Phone
(203) 333-4828
Address
2664 EAST MAIN STREET
Deactivation Date
6 February 2025
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

  • 2664, East Main Street, Bridgeport, Greater Bridgeport Planning Region, Connecticut, 06610, United States

    BRIDGEPORT, CT 06610

    Phone: (203) 333-4828

    Fax: (203) 336-0049

    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 06610)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1477601516 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Connecticut?
You will see Bridgeport, Connecticut on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1477601516. Always confirm identity and privileges with the practice and licensing boards.

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