Unknown Individual – Optometrist, NPI 1891765830

Unknown Individual is a healthcare provider. based in Mc lean, Virginia. specializing in Optometrist. They hold a License No. 0618000268 (VA). The NPI Number for Unknown Individual is 1891765830

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891765830
Phone
(703) 448-0923
Address
7405 OLD DOMINION DR
Deactivation Date
16 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7405 OLD DOMINION DR

    MC LEAN, VA 221012723

    Phone: (703) 448-0923

    Fax: (703) 448-8639

    Type: Mailing

  • Martinsburg Veterans Affairs Medical Center, 510, Butler Avenue, Martinsburg, Berkeley County, West Virginia, 25405, United States

    SURGICAL SERVICE / OPTOMETRY CLINIC

    MARTINSBURG, WV 254059990

    Phone: (304) 263-0811

    Fax: (304) 579-2570

    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 22101)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1891765830 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Virginia?
You will see Mc Lean, Virginia on file for Unknown Individual alongside any extra practice locations.
What if Mc Lean, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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