Unknown Individual – Optometrist, NPI 1144291717

Unknown Individual is a healthcare provider. based in Tyler, Texas. specializing in Optometrist. They hold a License No. 1638T (TX). The NPI Number for Unknown Individual is 1144291717

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144291717
Phone
(903) 595-0500
Address
2440 E 5TH ST
Deactivation Date
28 February 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

  • East 5th Street, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757013592

    Phone: (903) 595-0500

    Fax: (903) 595-2153

    Type: Location

  • 608, South Palestine Street, Athens, Henderson County, Texas, 75751, United States

    ATHENS, TX 757513323

    Phone: (903) 675-6440

    Fax: (903) 675-6676

    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 75701)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1144291717.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Tyler, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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