Unknown Individual – Optometrist, NPI 1134111925

Unknown Individual is a healthcare provider. based in Overland park, Kansas. specializing in Optometrist. They hold a License No. 1001-3 (KS). The NPI Number for Unknown Individual is 1134111925

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134111925
Phone
(913) 341-3100
Address
7504 ANTIOCH RD
Deactivation Date
19 June 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

  • Antioch Road, Overland Park, Johnson County, Kansas, 66085, United States

    OVERLAND PARK, KS 662042622

    Phone: (913) 341-3100

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641803861

    Phone: (913) 341-3100

    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.

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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 66204)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1134111925 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Overland Park, Kansas?
For routing, start with Overland Park, Kansas for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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