Unknown Individual – Optometrist, NPI 1073500112

Unknown Individual is a healthcare provider. based in Mason, Ohio. specializing in Optometrist. They hold a License No. 2972/T165 (OH). The NPI Number for Unknown Individual is 1073500112

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073500112
Phone
(513) 754-0762
Address
7103 SCARLET OAK CT
Deactivation Date
15 January 2021
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

  • 7103, Scarlet Oak Court, Oakwood Lakes, Mason, Warren County, Ohio, 45040, United States

    MASON, OH 450407905

    Phone: (513) 754-0762

    Type: Mailing

  • Circle Freeway, Forest Park, Springfield Township, Hamilton County, Ohio, 45252, United States

    CINCINNATI, OH 45246

    Phone: (513) 671-3443

    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 45040)

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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 1073500112; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Mason, Ohio because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1073500112. Always confirm identity and privileges with the practice and licensing boards.

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