Unknown Individual – Optometrist, NPI 1225066640

Unknown Individual is a healthcare provider. based in Ontario, Oregon. specializing in Optometrist. They hold a License No. 1341ATI (OR). The NPI Number for Unknown Individual is 1225066640

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225066640
Phone
(541) 889-2191
Address
975 SW 1ST AVE
Deactivation Date
7 June 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

  • 975, Southwest 1st Avenue, Ontario, Malheur County, Oregon, 97914, United States

    ONTARIO, OR 979142112

    Phone: (541) 889-2191

    Fax: (541) 881-1523

    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 97914)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1225066640 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oregon?
You will see Ontario, Oregon on file for Unknown Individual alongside any extra practice locations.
What if Ontario, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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