Unknown Individual – Optometrist, NPI 1497843569

Unknown Individual is a healthcare provider. based in Vienna, Virginia. specializing in Optometrist. They hold a License No. 4901003655 (MI). The NPI Number for Unknown Individual is 1497843569

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497843569
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Deactivation Date
5 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 205 W GRAND RIVER AVE STE 100

    BRIGHTON, MI 481161659

    Phone: (810) 220-4499

    Fax: (810) 220-4433

    Type: Location

  • Qdoba, 8709, West Grand River Avenue, Brighton, Livingston County, Michigan, 48116, United States

    SUITE A

    BRIGHTON, MI 481162923

    Phone: (810) 220-4499

    Fax: (810) 220-4433

    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.

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 22182)

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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 1497843569 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Vienna?
Unknown Individual currently maps to Vienna, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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