Unknown Individual – Ophthalmology Physician, NPI 1194716209

Unknown Individual is a healthcare provider. based in Altamonte springs, Florida. specializing in Ophthalmology Physician. They hold a License No. ME42437 (FL). The NPI Number for Unknown Individual is 1194716209

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194716209
Phone
(407) 775-7654
Address
160 BOSTON AVE
Deactivation Date
27 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
4078347776
Graduation Year
1977 (49 years ago)
PAC ID
1254422645
Group Practice PAC ID
6406758846
Professional Enrollment ID
I20070814000862
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

  • 160, Boston Avenue, Altamonte Springs, Seminole County, Florida, 32701, United States

    ALTAMONTE SPRINGS, FL 327014798

    Phone: (407) 775-7654

    Fax: (407) 834-6082

    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 32701)

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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: 6406758846View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1194716209.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Altamonte Springs, Florida in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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