Unknown Individual – Ophthalmology Physician, NPI 1639109101
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
50 Alessandro Place
Suite 210
Pasadena, CA 911053149
Phone: (626) 440-9920
Fax: (626) 440-0351
Type: Location
800 Fairmount Ave Ste 120
Pasadena, CA 911053151
Phone: (626) 440-9920
Fax: (626) 440-0351
Type: Location
280, South Fair Oaks Avenue, Pasadena, Los Angeles County, California, 91105, United States
PASADENA, CA 911052670
Phone: (626) 817-4747
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $2,310.
Total Amount is formed as General ($0) + Research ($2,310) + Ownership ($0) = $2,310.
Last reported payment date: 2024-09-22 • Largest payer in this snapshot: ABBVIE INC. ($2,310).
Total Amount
$2,310
General + Research + Ownership
Payments
8
Total payment records
General Amount
$0
General payments
Research Amount
$2,310
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,310 |
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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 531 | 291 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 496 | 291 | $0 |
| 92014 | Established patient complete exam of visual system | 491 | 276 | $0 |
| 92081 | Exam of visual field with limited testing | 361 | 242 | $0 |
| 67028 | Injection of drug into eye | 38 | 16 | $0 |
Insurance plans in this area (ZIP 90045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | |
| - | CA | |
| - | 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 | IL | |
| 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 | |
| O P H T H A L M O L O G Y | CA |
Reviews
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