Unknown Individual – Optometrist, NPI 1770614760

Unknown Individual is a healthcare provider. based in Mooresville, Indiana. specializing in Optometrist. They hold a License No. 18001326A (IN). The NPI Number for Unknown Individual is 1770614760

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770614760
Phone
(317) 831-1505
Address
PO BOX 102
Deactivation Date
20 March 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

Provider Addresses for Unknown Individual

  • PO BOX 102

    MOORESVILLE, IN 46158

    Phone: (317) 831-1505

    Type: Mailing

  • 11625 N OLDFIELD LN

    MOORESVILLE, IN 46158

    Phone: (317) 831-1505

    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.

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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 46158)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1770614760; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Mooresville, Indiana for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1770614760. Always confirm identity and privileges with the practice and licensing boards.

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