Unknown Individual – Optometrist, NPI 1750379673

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Optometrist. They hold a License No. 1089T (OR). The NPI Number for Unknown Individual is 1750379673

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750379673
Phone
(541) 779-2095
Address
309 GENESSEE ST
Deactivation Date
22 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 309, Genessee Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975047107

    Phone: (541) 779-2095

    Fax: (541) 779-0667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 97504)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1750379673?
NPI 1750379673 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Medford, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

East McAndrews Road, Medford, Jackson County, Oregon, 97504, United States
NPI: 1861495970
Riverside Avenue, Wellington, Medford, Middlesex County, Massachusetts, 02145-1109, United States
NPI: 1639172471
Riverside Avenue, Wellington, Medford, Middlesex County, Massachusetts, 02145-1109, United States
NPI: 1336142140
55, East Stewart Avenue, Medford, Jackson County, Oregon, 97501, United States
NPI: 1164415295
270, South Candy Lane, Cottonwood, Yavapai County, Arizona, 86326, United States
NPI: 1942297445
309, Genessee Street, Medford, Jackson County, Oregon, 97504, United States
NPI: 1316936214
820, East Main Street, Medford, Jackson County, Oregon, 97504, United States
NPI: 1316901952
Eyecare Associates of Southern Oregon, 935, Royal Avenue, Medford, Jackson County, Oregon, 97504, United States
NPI: 1639126253
Eyecare Associates of Southern Oregon, 935, Royal Avenue, Medford, Jackson County, Oregon, 97504, United States
NPI: 1417998006