Unknown Individual – Ophthalmology Physician, NPI 1497727846

Unknown Individual is a healthcare provider. based in Hamdeb, Connecticut. specializing in Ophthalmology Physician. They hold a License No. 038751 (CT). The NPI Number for Unknown Individual is 1497727846

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497727846
Phone
(203) 248-6365
Address
2880 OLD DIXWELL AV
Deactivation Date
16 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2032486365
Graduation Year
1991 (35 years ago)
PAC ID
4981792926
Group Practice PAC ID
6507805587
Professional Enrollment ID
I20090112000623
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

  • 2880 OLD DIXWELL AV

    HAMDEB, CT 06518

    Phone: (203) 248-6365

    Fax: (230) 281-2742

    Type: Location

  • 2880, Old Dixwell Avenue, Centerville, Hamden, South Central Connecticut Planning Region, Connecticut, 06518, United States

    HAMDEN, CT 06518

    Phone: (203) 248-6365

    Fax: (203) 287-2742

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06518)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCT92083Measurement of field of vision during daylight conditions617432
OPHTHALMOLOGYCT92134Diagnostic imaging of retina195154

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1497727846.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Hamdeb, Connecticut in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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