Unknown Individual – Optometrist, NPI 1215923909

Unknown Individual is a healthcare provider. based in Elkhart, Indiana. specializing in Optometrist. They hold a License No. 18001501A (IN). The NPI Number for Unknown Individual is 1215923909

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215923909
Phone
(574) 295-8820
Address
413 W FRANKLIN ST
Deactivation Date
20 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 413, West Franklin Street, Elkhart, Elkhart County, Indiana, 46516, United States

    ELKHART, IN 465162743

    Phone: (574) 295-8820

    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)

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.

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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 46516)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1215923909 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Indiana is Unknown Individual registered?
Use Elkhart, Indiana as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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