Unknown Individual – Optometrist, NPI 1649204066

Unknown Individual is a healthcare provider. based in Port angeles, Washington. specializing in Optometrist. They hold a License No. 964TX (WA). The NPI Number for Unknown Individual is 1649204066

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649204066
Phone
(360) 457-9007
Address
901 S LINCOLN ST
Deactivation Date
20 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lincoln Street Eye Care, 901, South Lincoln Street, Port Angeles, Clallam County, Washington, 98362, United States

    PORT ANGELES, WA 983627848

    Phone: (360) 457-9007

    Fax: (360) 457-1686

    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.

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 98362)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1649204066; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Optometrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Port Angeles, Washington for Unknown Individual; expand the address list for detail.
What if Port Angeles, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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