Unknown Individual – Optometrist, NPI 1376537795

Unknown Individual is a healthcare provider. based in Owensboro, Kentucky. specializing in Optometrist. They hold a License No. 0790DT (KY). The NPI Number for Unknown Individual is 1376537795

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376537795
Phone
(270) 683-2020
Address
411 PARK PLAZA DR
Deactivation Date
4 December 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

  • 411, Park Plaza Drive, Owensboro, Daviess County, Kentucky, 42301, United States

    OWENSBORO, KY 423015449

    Phone: (270) 683-2020

    Fax: (270) 686-0000

    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 42301)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1376537795.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Owensboro, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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