Unknown Individual – Optometrist, NPI 1457338675

Unknown Individual is a healthcare provider. based in Norfolk, Virginia. specializing in Optometrist. They hold a License No. 0618000449 (VA). The NPI Number for Unknown Individual is 1457338675

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457338675
Phone
(757) 497-9575
Address
1217 BOTETOURT GDNS
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

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Provider Addresses for Unknown Individual

  • Botetourt Gardens, Norfolk, Virginia, 23510, United States

    NORFOLK, VA 235172201

    Phone: (757) 497-9575

    Fax: (757) 497-1292

    Type: Mailing

  • Building 1, 281, Independence Boulevard, Pembroke Manor, Virginia Beach, Virginia, 23462, United States

    PEMBROKE ONE #105

    VIRGINIA BEACH, VA 234622986

    Phone: (757) 497-9575

    Fax: (757) 497-1292

    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 23517)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1457338675 on file in the registry.
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 locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Norfolk, Virginia.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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