Unknown Individual – Optometrist, NPI 1780684563

Unknown Individual is a healthcare provider. based in Burke, Virginia. specializing in Optometrist. They hold a License No. 0618000155 (VA). The NPI Number for Unknown Individual is 1780684563

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780684563
Phone
(703) 569-3131
Address
9314 OLD KEENE MILL RD STE A
Deactivation Date
20 December 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

  • 9314, Old Keene Mill Road, Keene Mill Heights, Burke, Fairfax, Virginia, 22015, United States

    BURKE, VA 220154284

    Phone: (703) 569-3131

    Fax: (703) 451-9291

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-02-09 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
Alcon Vision LLC$19
View all Open Payments →|Open Payments Risk Radar →

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 22015)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1780684563 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Burke, Virginia in the data we show; additional addresses may exist on the full record.
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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RANA IMAN (O.D.)

Optometrist
8990 FERN PARK DR
NPI: 1063424406
9314, Old Keene Mill Road, Keene Mill Heights, Burke, Fairfax, Virginia, 22015, United States
NPI: 1700987237