Unknown Individual – Ophthalmology Physician, NPI 1023102597

Unknown Individual is a healthcare provider. based in Everett, Washington. specializing in Ophthalmology Physician. They hold a License No. 40906 (WA). The NPI Number for Unknown Individual is 1023102597

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023102597
Phone
(425) 339-5435
Address
3901 HOYT
Deactivation Date
2 August 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

  • Founders Bldg., 3901, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 98201

    Phone: (425) 339-5435

    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)

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 98201)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1023102597?
NPI 1023102597 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Everett?
Unknown Individual currently maps to Everett, Washington in this extract.
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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