Unknown Individual – Optometrist, NPI 1861671885

Unknown Individual is a healthcare provider. based in Moultrie, Georgia. specializing in Optometrist. They hold a License No. OPT 1331 (GA). The NPI Number for Unknown Individual is 1861671885

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861671885
Phone
(229) 891-3109
Address
147 QUAIL LN
Deactivation Date
22 February 2022
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

  • 147 QUAIL LN

    MOULTRIE, GA 317886370

    Phone: (229) 891-3109

    Type: Mailing

  • 601, North Patterson Street, Valdosta, Lowndes County, Georgia, 31601, United States

    VALDOSTA, GA 316014648

    Phone: (229) 247-1155

    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.

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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 31788)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1861671885.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Optometrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Moultrie, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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