Unknown Individual – Optometrist, NPI 1801854963

Unknown Individual is a healthcare provider. based in Waxahachie, Texas. specializing in Optometrist. They hold a License No. 2294T (TX). The NPI Number for Unknown Individual is 1801854963

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801854963
Phone
(972) 937-6869
Address
807 W MARVIN AVE
Deactivation Date
26 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

  • 807, West Marvin Avenue, George C Dillon House, Waxahachie, Ellis County, Texas, 75165, United States

    WAXAHACHIE, TX 751653023

    Phone: (972) 937-6869

    Type: Mailing

  • 110, North Adelaide Street, Terrell, Kaufman County, Texas, 75160, United States

    TERRELL, TX 751602709

    Phone: (972) 563-3253

    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.

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 75165)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1801854963.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Waxahachie, Texas as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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