Unknown Individual – Optometrist, NPI 1821055476

Unknown Individual is a healthcare provider. based in Port charlotte, Florida. specializing in Optometrist. The NPI Number for Unknown Individual is 1821055476

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821055476
Phone
(941) 625-1325
Address
21275 OLEAN BLVD
Deactivation Date
18 August 2025
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

  • Olean Boulevard, Port Charlotte, Charlotte County, Florida, 33952, United States

    PORT CHARLOTTE, FL 339526704

    Phone: (941) 625-1325

    Fax: (941) 625-0131

    Type: Mailing

  • 1331, South Sumter Boulevard, North Port, Sarasota County, Florida, 34287, United States

    NORTH PORT, FL 342872371

    Phone: (941) 423-8137

    Fax: (941) 625-0131

    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 33952)

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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 1821055476 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Optometrist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Port Charlotte, Florida in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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