Unknown Individual – Ophthalmology Physician, NPI 1225038441

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Ophthalmology Physician. They hold a License No. ME0059918 (FL). The NPI Number for Unknown Individual is 1225038441

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225038441
Phone
(904) 997-9202
Address
8786 PERIMETER PARK BLVD
Deactivation Date
16 May 2024

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3862585777
Graduation Year
1980 (46 years ago)
PAC ID
7214004035
Group Practice PAC ID
8123004702
Professional Enrollment ID
I20080920000128
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8786, Perimeter Park Blvd, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322166347

    Phone: (904) 997-9202

    Fax: (904) 996-1446

    Type: Mailing

  • 564, Health Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321141492

    Phone: (386) 258-5777

    Fax: (386) 239-8984

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,196.

Total Amount is formed as General ($1,196) + Research ($0) + Ownership ($0) = $1,196.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Alimera Sciences, Inc. ($356).

Total Amount

$1,196

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg14,10292$0
92202Extended exam of the back part of the eye with optic nerve drawing907439$0
92134Imaging of retina748386$0
92012Established patient problem focused exam of visual system563265$0
67028Injection of drug into eye340134$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient151135

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: 8123004702View full group profile
NameSpecialtyState
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 YNC

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1225038441 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Jacksonville, Florida for Unknown Individual; download NPPES for the complete set.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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