Unknown Individual – Optometrist, NPI 1275528317

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Optometrist. They hold a License No. 000686 (GA). The NPI Number for Unknown Individual is 1275528317

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275528317
Phone
(404) 688-1350
Address
1046 RIDGE AVE SW
Deactivation Date
22 May 2025
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

  • Southside Medical Center, 1046, Ridge Avenue Southwest, Peoplestown, Atlanta, Fulton County, Georgia, 30315, United States

    ATLANTA, GA 303151640

    Phone: (404) 688-1350

    Mailing address matches the actual address.

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 30315)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1275528317 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Georgia?
You will see Atlanta, Georgia on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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