Unknown Individual – Optometrist, NPI 1316001936

Unknown Individual is a healthcare provider. based in Western springs, Illinois. specializing in Optometrist. They hold a License No. 046-008140 (IL). The NPI Number for Unknown Individual is 1316001936

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316001936
Phone
(708) 601-2688
Address
3946 JOHNSON AVE
Deactivation Date
6 July 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

  • 3946, Johnson Avenue, Western Springs, Lyons Township, Cook County, Illinois, 60558, United States

    WESTERN SPRINGS, IL 605581139

    Phone: (708) 601-2688

    Type: Mailing

  • 95th/Dan Ryan, 14, West 95th Street, Lilydale, Roseland, Chicago, Lake Township, Cook County, Illinois, 60617, United States

    SEARS OPTICAL

    CHICAGO RIDGE, IL 604152632

    Phone: (708) 499-4676

    Fax: (708) 499-5080

    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.

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 60558)

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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 1316001936.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Western Springs, Illinois?
If you are local to Western Springs, Illinois, Unknown Individual may be relevant to your search.
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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