Unknown Individual – Optometrist, NPI 1497794192

Unknown Individual is a healthcare provider. based in Waco, Texas. specializing in Optometrist. They hold a License No. 2164TG (TX). The NPI Number for Unknown Individual is 1497794192

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497794192
Phone
(254) 752-0471
Address
1215 LAKE AIR DR
Deactivation Date
29 March 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

Loading map...

Provider Addresses for Unknown Individual

  • 1215, Lake Air Drive, Waco, McLennan County, Texas, 76710, United States

    WACO, TX 767104419

    Phone: (254) 752-0471

    Fax: (254) 757-0866

    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 76710)

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

What identifier follows Unknown Individual across health systems?
The NPI 1497794192 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Waco, Texas?
If you are local to Waco, Texas, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DAVID CANNON FRAM (OD)

Corneal and Contact Management Optometrist
Sam's Club, 2301, East Waco Drive, Bellmead, McLennan County, Texas, 76705, United States
NPI: 1215927264
West Highway 6, Waco, McLennan County, Texas, 76710, United States
NPI: 1689635500
PO BOX 847408
NPI: 1134181662
733 Sun Valley Blvd
NPI: 1033157417
Walmart Supercenter, 1965, South Union Avenue, Oakland, Tacoma, Pierce County, Washington, 98405, United States
NPI: 1770504466
Westview Village, Waco, McLennan County, Texas, United States
NPI: 1922010800
Franklin Avenue, Waco, McLennan County, Texas, 76710, United States
NPI: 1982711610
106, West Waco Drive, Waco, McLennan County, Texas, 76701, United States
NPI: 1437261500
3713 FRANKLIN AVE
NPI: 1164554903