Unknown Individual – Optometrist, NPI 1851512073

Unknown Individual is a healthcare provider. based in Port orange, Florida. specializing in Optometrist. They hold a License No. OC1098 (FL). The NPI Number for Unknown Individual is 1851512073

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851512073
Phone
(386) 756-1900
Address
1590 DUNLAWTON AVE
Deactivation Date
17 January 2024
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

  • Walmart Supercenter, 1590, Dunlawton Avenue, Port Orange, Volusia County, Florida, 32127, United States

    PORT ORANGE, FL 321274752

    Phone: (386) 756-1900

    Type: Location

  • 1663, Hideaway Lane, Edgewater, Volusia County, Florida, 32132, United States

    EDGEWATER, FL 321322912

    Phone: (386) 427-9217

    Type: Mailing

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 32127)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1851512073 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Port Orange, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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