Unknown Individual – Optometrist, NPI 1972639490

Unknown Individual is a healthcare provider. based in Gillette, Wyoming. specializing in Optometrist. They hold a License No. 100T (WY). The NPI Number for Unknown Individual is 1972639490

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972639490
Phone
(307) 682-7337
Address
202 ROSS AVE
Deactivation Date
24 April 2025
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

Provider Addresses for Unknown Individual

  • 202 ROSS AVE

    GILLETTE, WY 827163724

    Phone: (307) 682-7337

    Fax: (307) 682-1667

    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 82716)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1972639490.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Gillette?
Unknown Individual currently maps to Gillette, Wyoming 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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