Unknown Individual – Optometrist, NPI 1104928985

Unknown Individual is a healthcare provider. based in Dublin, Georgia. specializing in Optometrist. They hold a License No. 001983 (GA). The NPI Number for Unknown Individual is 1104928985

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104928985
Phone
(478) 275-8325
Address
274 STRAWBERRY CIR
Deactivation Date
18 November 2020
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

Provider Addresses for Unknown Individual

  • 274 STRAWBERRY CIR

    DUBLIN, GA 310210452

    Phone: (478) 275-8325

    Type: Mailing

  • 2423 US HIGHWAY 80 W

    C/O THE VISION CENTER

    DUBLIN, GA 310210930

    Phone: (478) 272-8703

    Fax: (478) 272-9908

    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.

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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 31021)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1104928985.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Dublin, Georgia.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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