Unknown Individual – Optometrist, NPI 1497716385

Unknown Individual is a healthcare provider. based in Casselberry, Florida. specializing in Optometrist. They hold a License No. 0000841 (FL). The NPI Number for Unknown Individual is 1497716385

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497716385
Phone
(407) 834-8130
Address
117 MARK DAVID BLVD
Deactivation Date
7 June 2023
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

  • 117, Mark David Boulevard, Casselberry, Seminole County, Florida, 32707, United States

    CASSELBERRY, FL 327075415

    Phone: (407) 834-8130

    Type: Mailing

  • 1495, West State Road 434, Longwood, Seminole County, Florida, 32750, United States

    SUITE 109

    LONGWOOD, FL 327503847

    Phone: (407) 332-8255

    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.

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 32707)

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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 1497716385.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Casselberry, Florida?
For routing, start with Casselberry, Florida for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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