Unknown Individual – Optometrist, NPI 1417063876

Unknown Individual is a healthcare provider. based in Midwest city, Oklahoma. specializing in Optometrist. They hold a License No. 654 (OK). The NPI Number for Unknown Individual is 1417063876

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417063876
Phone
(405) 732-4503
Address
2813 PARKLAWN DR
Deactivation Date
6 December 2023
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

  • 2813, Parklawn Drive, Midwest City, Oklahoma County, Oklahoma, 73110, United States

    MIDWEST CITY, OK 731104201

    Phone: (405) 732-4503

    Fax: (405) 732-4504

    Mailing address matches the actual address.

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 73110)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1417063876.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
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.
What location metadata exists for Unknown Individual?
The page summarizes Midwest City, Oklahoma for Unknown Individual; expand the address list for detail.
What if Midwest City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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