Unknown Individual – Optometrist, NPI 1205065463

Unknown Individual is a healthcare provider. based in Albany, Kentucky. specializing in Optometrist. The NPI Number for Unknown Individual is 1205065463

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205065463
Phone
(606) 387-5612
Address
127 FOOTHILLS AVE
Deactivation Date
22 March 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Foothills Avenue, Albany, Clinton County, Kentucky, 42602, United States

    SUITE 3

    ALBANY, KY 426021090

    Phone: (606) 387-5612

    Fax: (606) 387-6602

    Type: Mailing

  • 2945, Maynardville Highway, Raccoon Valley, Maynardville, Union County, Tennessee, 37807, United States

    SUITE 6

    MAYNARDVILLE, TN 378073251

    Phone: (865) 992-8899

    Fax: (865) 992-8899

    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 42602)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1205065463 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Albany?
Public fields place Unknown Individual around Albany, Kentucky. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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