Unknown Individual – Optometrist, NPI 1962513176

Unknown Individual is a healthcare provider. based in Fairmont, Minnesota. specializing in Optometrist. They hold a License No. 1608 (MN). The NPI Number for Unknown Individual is 1962513176

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962513176
Phone
(507) 235-2523
Address
1250 GOEMANN RD
Deactivation Date
10 April 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

  • Walmart Supercenter, 1250, Goemann Road, Fairmont, Martin County, Minnesota, 56031, United States

    FAIRMONT, MN 560314659

    Phone: (507) 235-2523

    Fax: (507) 235-2525

    Type: Location

  • South Dewey Street, Fairmont, Martin County, Minnesota, 56031, United States

    FAIRMONT, MN 56031

    Phone: (507) 238-9093

    Fax: (507) 235-2525

    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.

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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 56031)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1962513176 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Fairmont, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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