Unknown Individual – Optometrist, NPI 1649345331

Unknown Individual is a healthcare provider. based in Saint albans, Vermont. specializing in Optometrist. They hold a License No. 030.0111948 (VT). The NPI Number for Unknown Individual is 1649345331

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649345331
Phone
(802) 524-9561
Address
128 FISHER POND RD
Deactivation Date
7 June 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

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Provider Addresses for Unknown Individual

  • 128, Fisher Pond Road, Hill Farm Estates, Saint Albans, Franklin County, Vermont, 05478, United States

    SAINT ALBANS, VT 054786058

    Phone: (802) 524-9561

    Fax: (802) 524-6060

    Type: Mailing

  • Professional Visioncare, 8210, Santa Monica Boulevard, West Hollywood, Los Angeles County, California, 90046, United States

    WEST HOLLYWOOD, CA 900465913

    Phone: (323) 656-9550

    Fax: (323) 650-2490

    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 05478)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1649345331 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Saint Albans, Vermont as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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DANIEL PHILLIPS

Optometrist
128 FISHER POND RD
NPI: 1427897206