Unknown Individual – Optometrist, NPI 1063403012

Unknown Individual is a healthcare provider. based in Altamonte springs, Florida. specializing in Optometrist. They hold a License No. OPC1437 (FL). The NPI Number for Unknown Individual is 1063403012

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063403012
Phone
(407) 834-7776
Address
160 BOSTON AVE
Deactivation Date
26 February 2026
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

  • 160, Boston Avenue, Altamonte Springs, Seminole County, Florida, 32701, United States

    ALTAMONTE SPRINGS, FL 327014706

    Phone: (407) 834-7776

    Fax: (407) 834-0973

    Type: Mailing

  • Washington Avenue, Titusville, Brevard County, Florida, United States

    TITUSVILLE, FL 327963500

    Phone: (407) 834-7776

    Fax: (407) 834-0973

    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.

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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 32701)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1063403012.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Altamonte Springs, Florida in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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