Unknown Individual – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1386642163

Unknown Individual is a healthcare provider. based in Danbury, Connecticut. specializing in Pediatric Ophthalmology and Strabismus Specialist Physician. They hold a License No. 028017 (CT). The NPI Number for Unknown Individual is 1386642163

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386642163
Phone
(203) 791-2020
Address
69 SAND PIT RD
Deactivation Date
28 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8609466000
Graduation Year
1982 (44 years ago)
PAC ID
8022141837
Group Practice PAC ID
2668431792
Professional Enrollment ID
I20100901000418
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

  • 69, Sand Pit Road, Germantown, Danbury, Fairfield County, Connecticut, 06810, United States

    SUITE 101

    DANBURY, CT 068104004

    Phone: (203) 791-2020

    Fax: (203) 778-6238

    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 06810)

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Provider's Procedures

Unknown Individual performs procedures in Pediatric Ophthalmology and Strabismus Specialist Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCT92012Eye and medical examination for diagnosis and treatment, established patient216168

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668431792View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
O P T O M E T R YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1386642163 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Pediatric Ophthalmology and Strabismus Specialist Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Danbury, Connecticut in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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