Unknown Individual – Optometrist, NPI 1154419299

Unknown Individual is a healthcare provider. based in Kalamazoo, Michigan. specializing in Optometrist. They hold a License No. 4901002781 (MI). The NPI Number for Unknown Individual is 1154419299

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154419299
Phone
(616) 382-5942
Address
575 N DRAKE RD
Deactivation Date
28 August 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

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Provider Addresses for Unknown Individual

  • 575, North Drake Road, Kalamazoo, Oshtemo Township, Kalamazoo County, Michigan, 49006, United States

    WEST MAIN PLAZA

    KALAMAZOO, MI 490091169

    Phone: (616) 382-5942

    Type: Location

  • 7540, Hampton Oaks Drive, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490245034

    Phone: (269) 329-1694

    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.

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 49009)

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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 1154419299; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Kalamazoo, Michigan because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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