Unknown Individual – Optometrist, NPI 1083621809

Unknown Individual is a healthcare provider. based in Galax, Virginia. specializing in Optometrist. They hold a License No. 0618001545 (VA). The NPI Number for Unknown Individual is 1083621809

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083621809
Phone
(276) 238-0040
Address
1140E STUART DR A
Deactivation Date
19 August 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

Provider Addresses for Unknown Individual

  • 1140E STUART DR A

    GALAX, VA 243332630

    Phone: (276) 238-0040

    Type: Location

  • 240, Commonwealth Boulevard West, Martinsville, Martinsville City, Virginia, 24112, United States

    MARTINSVILLE, VA 241121800

    Phone: (276) 638-1149

    Fax: (276) 638-1859

    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.

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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 24333)

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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 1083621809 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 is Unknown Individual based?
Unknown Individual is tied to Galax, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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