Unknown Individual – Optometrist, NPI 1285646091

Unknown Individual is a healthcare provider. based in Bowling green, Ohio. specializing in Optometrist. They hold a License No. T-569 (OH). The NPI Number for Unknown Individual is 1285646091

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285646091
Phone
(419) 352-6505
Address
1120 S MAIN ST
Deactivation Date
19 December 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

  • South Main Street, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, OH 434024733

    Phone: (419) 352-6505

    Fax: (419) 352-6607

    Type: Location

  • 5435, Heatherdowns Boulevard, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436144605

    Phone: (419) 866-8717

    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.

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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 43402)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1285646091 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Bowling Green, Ohio as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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