Unknown Individual – Optometrist, NPI 1891894663

Unknown Individual is a healthcare provider. based in Acworth, Georgia. specializing in Optometrist. They hold a License No. OPT002165 (GA). The NPI Number for Unknown Individual is 1891894663

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891894663
Phone
(678) 575-5068
Address
1038 ALYSSUM DR NW
Deactivation Date
17 July 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

Provider Addresses for Unknown Individual

  • 1038 ALYSSUM DR NW

    ACWORTH, GA 301028124

    Phone: (678) 575-5068

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $1,319.

Total Amount is formed as General ($1,319) + Research ($0) + Ownership ($0) = $1,319.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($296).

Total Amount

$1,319

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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 30102)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1891894663.
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 geographic area is tied to Unknown Individual?
Unknown Individual is associated with Acworth, Georgia in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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