Unknown Individual – Ophthalmology Physician, NPI 1114928082
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
480, 4th Avenue, Chula Vista, San Diego County, California, 91910, United States
STE 201
CHULA VISTA, CA 919104410
Phone: (619) 427-3355
Fax: (619) 427-0955
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 12 Open Payments records for all available years, with a total value of $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Alcon Vision LLC ($84).
Total Amount
$293
General + Research + Ownership
Payments
12
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $84 |
| Mallinckrodt Hospital Products Inc. | $78 |
| Thea Pharma Inc. | $45 |
| Oyster Point Pharma, Inc. | $40 |
| ABBVIE INC. | $29 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 123 | 118 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 69 | $0 |
| 92014 | Established patient complete exam of visual system | 69 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 20 | $0 |
| 92133 | Imaging of optic nerve | 19 | 19 | $0 |
Insurance plans in this area (ZIP 91910)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| - | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA |
Reviews
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