Unknown Individual – Eyewear Supplier, NPI 1477574564

Unknown Individual is a healthcare provider. based in Blackwood, New Jersey. specializing in Eyewear Supplier. The NPI Number for Unknown Individual is 1477574564

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477574564
Phone
(856) 228-1000
Address
10 HARMON DR
Deactivation Date
6 October 2021
Data current as of
19 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

  • 10 HARMON DR

    BLACKWOOD, NJ 080125104

    Phone: (856) 228-1000

    Fax: (856) 718-3572

    Type: Mailing

  • Meijer, 2425, Alpine Avenue Northwest, Walker, Kent County, Michigan, 49544, United States

    GRAND RAPIDS, MI 495441956

    Phone: (616) 363-0443

    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 08012)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1477574564?
NPI 1477574564 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Eyewear Supplier in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Blackwood?
Unknown Individual currently maps to Blackwood, New Jersey in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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