Unknown Individual – Optometrist, NPI 1649331083

Unknown Individual is a healthcare provider. based in Calumet city, Illinois. specializing in Optometrist. They hold a License No. 046-004687 (IL). The NPI Number for Unknown Individual is 1649331083

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649331083
Phone
(708) 868-5190
Address
1320 TORRENCE AVE
Deactivation Date
24 January 2024
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

  • 1320, Torrence Avenue, Globe, Calumet City, Thornton Township, Cook County, Illinois, 60409, United States

    CALUMET CITY, IL 604095512

    Phone: (708) 868-5190

    Fax: (708) 868-3232

    Type: Location

  • 3505, Lakeview Drive, Village West, Hazel Crest, Rich Township, Cook County, Illinois, 60429, United States

    APT 211

    HAZEL CREST, IL 604292418

    Phone: (708) 799-8229

    Type: Mailing

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 60409)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1649331083.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Calumet City, Illinois for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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