Unknown Individual – Optometrist, NPI 1780692897

Unknown Individual is a healthcare provider. based in Lawton, Oklahoma. specializing in Optometrist. They hold a License No. 805 (OK). The NPI Number for Unknown Individual is 1780692897

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780692897
Phone
(580) 355-3036
Address
1415 W GORE BLVD
Deactivation Date
8 May 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

  • East Gore Boulevard, Lawton, Comanche County, Oklahoma, 73501, United States

    LAWTON, OK 735013606

    Phone: (580) 355-3036

    Fax: (580) 248-1162

    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.

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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 73501)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1780692897?
NPI 1780692897 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 Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Lawton?
Public fields place Unknown Individual around Lawton, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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