Unknown Individual – Optometrist, NPI 1396738647

Unknown Individual is a healthcare provider. based in Garland, Texas. specializing in Optometrist. They hold a License No. 2212TG (TX). The NPI Number for Unknown Individual is 1396738647

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396738647
Phone
(972) 494-2020
Address
1821 OLD MILL RUN
Deactivation Date
28 January 2022
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

  • 1821, Old Mill Run, Garland, Dallas County, Texas, 75042, United States

    GARLAND, TX 750424214

    Phone: (972) 494-2020

    Fax: (972) 276-5664

    Type: Location

  • Old Mill Run, Garland, Dallas County, Texas, 75044, United States

    GARLAND, TX 750424214

    Phone: (972) 494-2020

    Fax: (972) 276-5664

    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 75042)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1396738647 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Garland, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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