Unknown Individual – Optometrist, NPI 1760401202

Unknown Individual is a healthcare provider. based in Decatur, Illinois. specializing in Optometrist. They hold a License No. 467080 (IL). The NPI Number for Unknown Individual is 1760401202

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760401202
Phone
(217) 422-8032
Address
1270 S JASPER ST
Deactivation Date
10 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 1270, South Jasper Street, Jasper Park, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625213531

    Phone: (217) 422-8032

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 62521)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1760401202.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Decatur, Illinois?
For routing, start with Decatur, Illinois for Unknown Individual, then verify phone and hours locally.
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.

Similar Providers

2475, North Monroe Street, Decatur, Macon County, Illinois, 62526, United States
NPI: 1184611238
1008, North Main Street, Cultural District, Bloomington, McLean County, Illinois, 61701, United States
NPI: 1477540318
288, North Park Street, Central Business District, Decatur, Macon County, Illinois, 62523, United States
NPI: 1568444917
8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States
NPI: 1063491553

DR. MARCUS S DERANIAN (M.D.)

Ophthalmology Physician
IL Route 121, Decatur, Macon County, Illinois, 62526, United States
NPI: 1952367351
3411, North Woodford Street, Decatur, Macon County, Illinois, 62526, United States
NPI: 1366492357

Bard Optical

Durable Medical Equipment & Medical Supplies
8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States
NPI: 1528013471

Bard Optical

Durable Medical Equipment & Medical Supplies
3755 N WATER ST
NPI: 1609815992
2020 W ILES AVNEUE
NPI: 1427099951