Unknown Individual – Optometrist, NPI 1154310464

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Optometrist. They hold a License No. 18001649 (IN). The NPI Number for Unknown Individual is 1154310464

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154310464
Phone
(317) 924-1300
Address
2839 LAFAYETTE RD
Deactivation Date
31 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

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Provider Addresses for Unknown Individual

  • 2839, Lafayette Road, Venerable Flackville, Indianapolis, Marion County, Indiana, 46222, United States

    INDIANAPOLIS, IN 462222147

    Phone: (317) 924-1300

    Fax: (317) 924-3741

    Type: Mailing

  • 4525, East Main Street, Chimborazo, East End, Richmond, Virginia, 23231, United States

    RICHMOND, IN 47374

    Phone: (317) 924-1300

    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 46222)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1154310464 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Indiana?
You will see Indianapolis, Indiana on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1154310464. Always confirm identity and privileges with the practice and licensing boards.

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