Unknown Individual – Optometrist, NPI 1861475709

Unknown Individual is a healthcare provider. based in Detroit lakes, Minnesota. specializing in Optometrist. They hold a License No. 2434 (MN). The NPI Number for Unknown Individual is 1861475709

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861475709
Phone
(218) 849-4295
Address
24226 RIDGEVIEW CIR
Deactivation Date
26 June 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

Provider Addresses for Unknown Individual

  • 24226 RIDGEVIEW CIR

    DETROIT LAKES, MN 565017151

    Phone: (218) 849-4295

    Fax: (218) 847-8453

    Type: Mailing

  • 1583 HIGHWAY 10 W

    DETROIT LAKES, MN 565012232

    Phone: (218) 847-7245

    Fax: (218) 847-8453

    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.

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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 56501)

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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 1861475709 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Detroit Lakes, Minnesota?
If you are local to Detroit Lakes, Minnesota, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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LAKES VISION, PC

Optometrist
24226 RIDGEVIEW CIR
NPI: 1871825364