Unknown Individual – Optometrist, NPI 1629358817

Unknown Individual is a healthcare provider. based in Corsicana, Texas. specializing in Optometrist. They hold a License No. 6404TG (TX). The NPI Number for Unknown Individual is 1629358817

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629358817
Phone
(903) 872-5681
Address
PO BOX 615
Deactivation Date
13 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 615

    CORSICANA, TX 751510615

    Phone: (903) 872-5681

    Fax: (903) 872-0603

    Type: Mailing

  • 124 W 5TH AVE

    CORSICANA, TX 751105201

    Phone: (903) 872-5681

    Fax: (903) 872-0603

    Type: Location

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 75151)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1629358817 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.
How should patients interpret Unknown Individual's specialty?
The extract shows Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Corsicana, Texas in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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