Unknown Individual – Optometrist, NPI 1679554547

Unknown Individual is a healthcare provider. based in Manhattan, Kansas. specializing in Optometrist. They hold a License No. KS-964-2 (KS). The NPI Number for Unknown Individual is 1679554547

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679554547
Phone
(785) 537-1118
Address
3012 ANDERSON AVE
Deactivation Date
3 December 2020
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

  • 3012, Anderson Avenue, Westloop Shopping Center, Manhattan, Riley County, Kansas, 66502, United States

    MANHATTAN, KS 665032809

    Phone: (785) 537-1118

    Fax: (785) 537-8005

    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.

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 66503)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1679554547?
NPI 1679554547 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Manhattan?
Unknown Individual currently maps to Manhattan, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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